{"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":216969,"network_name":["TEXAS METHODIST HOUSTON PHYSICIAN ORGANIZATION TMHPO"],"provider_groups":[{"npi":[1144600925],"tin":{"type":"ein","value":"300520570","business_name":"TMH PHYSICIAN ASSOCIATES PLLC GRP"}}]}],"in_network":[{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2107","description":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2107","description":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2110","description":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2110","description":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2112","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2112","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2113","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2113","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2108","description":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2108","description":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2111","description":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2111","description":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2103","description":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2103","description":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2104","description":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2104","description":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2105","description":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2105","description":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2106","description":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2106","description":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2109","description":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2109","description":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2745","description":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2745","description":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ANISEIKONIC LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2118","description":"ANISEIKONIC LENS SINGLE VISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ANISEIKONIC LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2118","description":"ANISEIKONIC LENS SINGLE VISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ANISEIKONIC LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2318","description":"ANISEIKONIC LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ANISEIKONIC LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2318","description":"ANISEIKONIC LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ANISEIKONIC PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2218","description":"ANISEIKONIC PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ANISEIKONIC PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2218","description":"ANISEIKONIC PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ANTIREFLECTIVE COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2750","description":"ANTIREFLECTIVE COATING PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ANTIREFLECTIVE COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2750","description":"ANTIREFLECTIVE COATING PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BALANCE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2700","description":"BALANCE LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BALANCE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2700","description":"BALANCE LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2220","description":"BIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2220","description":"BIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCAL SEG WIDTH OVER 28MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2219","description":"BIFOCAL SEG WIDTH OVER 28MM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCAL SEG WIDTH OVER 28MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2219","description":"BIFOCAL SEG WIDTH OVER 28MM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2214","description":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2214","description":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2207","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2207","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2208","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2208","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2209","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2209","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2210","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2210","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2211","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2211","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2212","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2212","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2213","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2213","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2203","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2203","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2204","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2204","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2205","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2205","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2206","description":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2206","description":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2513","description":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2513","description":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2511","description":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2511","description":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2521","description":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2521","description":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2512","description":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2512","description":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2510","description":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2510","description":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2522","description":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2522","description":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2523","description":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2523","description":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2520","description":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2520","description":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS PMMA BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2502","description":"CONTACT LENS PMMA BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS PMMA BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2502","description":"CONTACT LENS PMMA BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2503","description":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2503","description":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS PMMA SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2500","description":"CONTACT LENS PMMA SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS PMMA SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2500","description":"CONTACT LENS PMMA SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2501","description":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2501","description":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2530","description":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2530","description":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2531","description":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2531","description":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"DELUXE FRAME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2025","description":"DELUXE FRAME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"DELUXE FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2025","description":"DELUXE FRAME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"DISPOSABLE CONTACT LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0500","description":"DISPOSABLE CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"DISPOSABLE CONTACT LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0500","description":"DISPOSABLE CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"FITTING OF CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92070","description":"FITTING OF CONTACT LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"FRAMES PURCHASES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2020","description":"FRAMES PURCHASES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"FRAMES PURCHASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2020","description":"FRAMES PURCHASES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2784","description":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2784","description":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR LENS PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2221","description":"LENTICULAR LENS PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR LENS PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2221","description":"LENTICULAR LENS PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR LENS PER LENS SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2121","description":"LENTICULAR LENS PER LENS SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR LENS PER LENS SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2121","description":"LENTICULAR LENS PER LENS SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR LENS PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2321","description":"LENTICULAR LENS PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR LENS PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2321","description":"LENTICULAR LENS PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2215","description":"LENTICULAR PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2215","description":"LENTICULAR PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR PER LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2115","description":"LENTICULAR PER LENS SINGLE VISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR PER LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2115","description":"LENTICULAR PER LENS SINGLE VISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2315","description":"LENTICULAR PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"LENTICULAR PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2315","description":"LENTICULAR PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2199","description":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2199","description":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"OCCLUDER LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2770","description":"OCCLUDER LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"OCCLUDER LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2770","description":"OCCLUDER LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"OVERSIZE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2780","description":"OVERSIZE LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"OVERSIZE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2780","description":"OVERSIZE LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"POLYCARBONATE LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0580","description":"POLYCARBONATE LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"POLYCARBONATE LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0580","description":"POLYCARBONATE LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"PRESS-ON LENS  FRESNELL PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2718","description":"PRESS-ON LENS  FRESNELL PRISM PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"PRESS-ON LENS  FRESNELL PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2718","description":"PRESS-ON LENS  FRESNELL PRISM PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2715","description":"PRISM PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2715","description":"PRISM PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0621","description":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0621","description":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0620","description":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0620","description":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"RX AND FITG CONTACT CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92311","description":"RX AND FITG CONTACT CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"RX AND FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92312","description":"RX AND FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92311","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92311","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92312","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92312","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2114","description":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2114","description":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2710","description":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2710","description":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2730","description":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2730","description":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2201","description":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2201","description":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2202","description":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2202","description":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2200","description":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2200","description":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2101","description":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2101","description":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2100","description":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2100","description":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2102","description":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2102","description":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2301","description":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2301","description":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2302","description":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2302","description":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2300","description":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2300","description":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TINT PHOTOCHROMATIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2744","description":"TINT PHOTOCHROMATIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TINT PHOTOCHROMATIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2744","description":"TINT PHOTOCHROMATIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2320","description":"TRIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2320","description":"TRIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCAL SEG WIDTH OVER 28 MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2319","description":"TRIFOCAL SEG WIDTH OVER 28 MM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCAL SEG WIDTH OVER 28 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2319","description":"TRIFOCAL SEG WIDTH OVER 28 MM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2307","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2307","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2308","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2308","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2309","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2309","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2310","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2310","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2311","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2311","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2312","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2312","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2303","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2303","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2304","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2304","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2305","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2305","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2306","description":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2306","description":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2313","description":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2313","description":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2314","description":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2314","description":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"U-V LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2755","description":"U-V LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"U-V LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2755","description":"U-V LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2430","description":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2430","description":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2410","description":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"capitation","name":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2410","description":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82652","description":"1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54328","description":"1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54328","description":"1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54332","description":"1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54332","description":"1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54326","description":"1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54326","description":"1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54322","description":"1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54322","description":"1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54324","description":"1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54324","description":"1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STG PERINEAL HYPOSPADIAS RPR W/GRF and /FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54336","description":"1 STG PERINEAL HYPOSPADIAS RPR W/GRF and /FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 STG PERINEAL HYPOSPADIAS RPR W/GRF and /FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54336","description":"1 STG PERINEAL HYPOSPADIAS RPR W/GRF and /FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2107","description":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2107","description":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2110","description":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2110","description":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2112","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2112","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2113","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2113","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2108","description":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2108","description":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2111","description":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2111","description":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2103","description":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2103","description":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2104","description":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2104","description":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2105","description":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2105","description":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2106","description":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2106","description":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2109","description":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2109","description":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"17-HYDROXYPREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84143","description":"17-HYDROXYPREGNENOLONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99461","description":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99461","description":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99460","description":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99460","description":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99463","description":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99463","description":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99223","description":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99223","description":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99222","description":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99222","description":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99221","description":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99221","description":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99468","description":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99468","description":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99492","description":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99492","description":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93745","description":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93745","description":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99494","description":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99494","description":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2019-NCOV CORONAVIRUS SARS-COV-2/2019-NCOV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"U0002","description":"2019-NCOV CORONAVIRUS SARS-COV-2/2019-NCOV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2019-NCOV CORONAVIRUS SARS-COV-2/2019-NCOV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"U0002","description":"2019-NCOV CORONAVIRUS SARS-COV-2/2019-NCOV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"25 HYDROXY INCLUDES FRACTIONS IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82306","description":"25 HYDROXY INCLUDES FRACTIONS IF PERFORMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77295","description":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77295","description":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93319","description":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93319","description":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76376","description":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76376","description":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76377","description":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76377","description":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE AND 0.45 PCT  NORMAL SALINE 1000 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S5010","description":"5 PCT  DEXTROSE AND 0.45 PCT  NORMAL SALINE 1000 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE AND 0.45 PCT  NORMAL SALINE 1000 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5010","description":"5 PCT  DEXTROSE AND 0.45 PCT  NORMAL SALINE 1000 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.974,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/NORMAL SALINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7042","description":"5 PCT  DEXTROSE/NORMAL SALINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/NORMAL SALINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7042","description":"5 PCT  DEXTROSE/NORMAL SALINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/WATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7060","description":"5 PCT  DEXTROSE/WATER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/WATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7060","description":"5 PCT  DEXTROSE/WATER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.233,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.641,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33782","description":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2776.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2915.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33782","description":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2776.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2915.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33783","description":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3000.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3150.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33783","description":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3000.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3150.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38747","description":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38747","description":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49083","description":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49083","description":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49082","description":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49082","description":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51845","description":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51845","description":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81170","description":"ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93657","description":"ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93657","description":"ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33254","description":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1173.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33254","description":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1173.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33256","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1658.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1741.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33256","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1658.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1741.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33255","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1469.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33255","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1469.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION 1 OR GT  LIVER TUMOR PERQ CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47383","description":"ABLATION 1 OR GT  LIVER TUMOR PERQ CRYOABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5079.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5333.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION 1 OR GT  LIVER TUMOR PERQ CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47383","description":"ABLATION 1 OR GT  LIVER TUMOR PERQ CRYOABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5079.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5333.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33251","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1406.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1476.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33251","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1406.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1476.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33250","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33250","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20982","description":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2933.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3079.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3119.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3275.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20982","description":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2933.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3079.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3119.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3275.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50593","description":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50593","description":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  LVR TUM PRQ RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47382","description":"ABLTJ 1 OR GT  LVR TUM PRQ RF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  LVR TUM PRQ RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47382","description":"ABLTJ 1 OR GT  LVR TUM PRQ RF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50592","description":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50592","description":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47381","description":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1371.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47381","description":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1371.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47380","description":"ABLTJ OPN 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1275.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47380","description":"ABLTJ OPN 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1275.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30802","description":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30802","description":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30801","description":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30801","description":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION 1 LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15786","description":"ABRASION 1 LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION 1 LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15786","description":"ABRASION 1 LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15787","description":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15787","description":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27120","description":"ACETABULOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27120","description":"ACETABULOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY RESECTION FEMORAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27122","description":"ACETABULOPLASTY RESECTION FEMORAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY RESECTION FEMORAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27122","description":"ACETABULOPLASTY RESECTION FEMORAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR BINDING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86041","description":"ACETYLCHOLINE RECEPTOR BINDING ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR BINDING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86041","description":"ACETYLCHOLINE RECEPTOR BINDING ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86042","description":"ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86042","description":"ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86043","description":"ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86043","description":"ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7608","description":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7608","description":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACNE SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"ACNE SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92570","description":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC REFLEX THRESHOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92568","description":"ACOUSTIC REFLEX THRESHOLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC REFLEX THRESHOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92568","description":"ACOUSTIC REFLEX THRESHOLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23130","description":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23130","description":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80406","description":"ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80402","description":"ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80400","description":"ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95803","description":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95803","description":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIN SMOOTH MUSCLE ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86015","description":"ACTIN SMOOTH MUSCLE ANTIBODY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIN SMOOTH MUSCLE ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86015","description":"ACTIN SMOOTH MUSCLE ANTIBODY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTINOTHERAPY ULTRAVIOLET LIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96900","description":"ACTINOTHERAPY ULTRAVIOLET LIGHT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTINOTHERAPY ULTRAVIOLET LIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96900","description":"ACTINOTHERAPY ULTRAVIOLET LIGHT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATED PROTEIN C APC RESISTANCE ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85307","description":"ACTIVATED PROTEIN C APC RESISTANCE ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78278","description":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78278","description":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE HEPATITIS PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80074","description":"ACUTE HEPATITIS PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78456","description":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78456","description":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACYLCARNITINES QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82016","description":"ACYLCARNITINES QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACYLCARNITINES QUANTIATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82017","description":"ACYLCARNITINES QUANTIATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97155","description":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97155","description":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97153","description":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97153","description":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2270","description":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2270","description":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDING WALKER PREVIOUSLY APPLIED CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29440","description":"ADDING WALKER PREVIOUSLY APPLIED CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDING WALKER PREVIOUSLY APPLIED CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29440","description":"ADDING WALKER PREVIOUSLY APPLIED CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42830","description":"ADENOIDECTOMY PRIMARY  LT AGE 12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42830","description":"ADENOIDECTOMY PRIMARY  LT AGE 12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42831","description":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42831","description":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42836","description":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42836","description":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42835","description":"ADENOIDECTOMY SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42835","description":"ADENOIDECTOMY SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOSINE 5-MONOPHOSPHATE CYCLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82030","description":"ADENOSINE 5-MONOPHOSPHATE CYCLIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.837,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14000","description":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14000","description":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14001","description":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14001","description":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14301","description":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14301","description":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14061","description":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14061","description":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14040","description":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14040","description":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14302","description":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14302","description":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14020","description":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14020","description":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14060","description":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14060","description":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14041","description":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14041","description":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14021","description":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14021","description":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUNCTIVE BLUE LIGHT CYSTOSCOPY FLUO IMAG AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9738","description":"ADJUNCTIVE BLUE LIGHT CYSTOSCOPY FLUO IMAG AGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20693","description":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20693","description":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0201","description":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0201","description":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96380","description":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96380","description":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96381","description":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96381","description":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL IMAGING CORTEX  and /MEDULLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78075","description":"ADRENAL IMAGING CORTEX  and /MEDULLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL IMAGING CORTEX  and /MEDULLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78075","description":"ADRENAL IMAGING CORTEX  and /MEDULLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60545","description":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60545","description":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60540","description":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60540","description":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ADRENOCORTICOTROPIC HORMONE ACTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82024","description":"ADRENOCORTICOTROPIC HORMONE ACTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED LIFE SUPPORT LEVEL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0433","description":"ADVANCED LIFE SUPPORT LEVEL 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP HEARING STATUS DETER BROADBAND STIMULI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92651","description":"AEP HEARING STATUS DETER BROADBAND STIMULI I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP HEARING STATUS DETER BROADBAND STIMULI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92651","description":"AEP HEARING STATUS DETER BROADBAND STIMULI I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92653","description":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92653","description":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92650","description":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92650","description":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92652","description":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92652","description":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFAMELANOTIDE IMPLANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7352","description":"AFAMELANOTIDE IMPLANT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3534.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFAMELANOTIDE IMPLANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7352","description":"AFAMELANOTIDE IMPLANT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3534.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFAMITRESGENE AUTOLEUCEL PER THERAPEUTIC DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2057","description":"AFAMITRESGENE AUTOLEUCEL PER THERAPEUTIC DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847682.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":959640.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFAMITRESGENE AUTOLEUCEL PER THERAPEUTIC DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2057","description":"AFAMITRESGENE AUTOLEUCEL PER THERAPEUTIC DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847682.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":959640.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFP-L3 FRACTION ISOFORM  and  TOTAL AFP W/RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82107","description":"AFP-L3 FRACTION ISOFORM  and  TOTAL AFP W/RATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGGLUTININS FEBRILE EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86000","description":"AGGLUTININS FEBRILE EACH ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3449.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3549.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3621.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3726.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3449.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3549.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3621.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3726.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3449.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3549.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3621.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3726.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21125","description":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2321.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2351.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2437.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21125","description":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2321.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2351.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2437.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.294,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIRWAY RESISTANCE BY OSCILLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94728","description":"AIRWAY RESISTANCE BY OSCILLOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIRWAY RESISTANCE BY OSCILLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94728","description":"AIRWAY RESISTANCE BY OSCILLOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUMIN ISCHEMIA MODIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82045","description":"ALBUMIN ISCHEMIA MODIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUMIN SERUM PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82040","description":"ALBUMIN SERUM PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL  AND OR RX SRVC; METHADONE ADMIN  AND OR SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0020","description":"ALCOHL  AND OR RX SRVC; METHADONE ADMIN  AND OR SERVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL  AND OR RX SRVC; METHADONE ADMIN  AND OR SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0020","description":"ALCOHL  AND OR RX SRVC; METHADONE ADMIN  AND OR SERVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2011","description":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2011","description":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG SCREENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0049","description":"ALCOHOL AND/OR DRUG SCREENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0049","description":"ALCOHOL AND/OR DRUG SCREENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVEN 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99408","description":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVEN 15-30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVEN 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99408","description":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVEN 15-30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALDOSTERONE SUPPRESSION EVALUATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80408","description":"ALDOSTERONE SUPPRESSION EVALUATION PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALKALOIDS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80323","description":"ALKALOIDS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95018","description":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95018","description":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95017","description":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95017","description":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86003","description":"ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86005","description":"ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86008","description":"ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86001","description":"ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLG TEST PERQ  and  IC DRUG/BIOL IMMED REACT W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95018","description":"ALLG TEST PERQ  and  IC DRUG/BIOL IMMED REACT W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLG TSTG PERQ  and  IC VENOMS IMMED REACT W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95017","description":"ALLG TSTG PERQ  and  IC VENOMS IMMED REACT W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGENEIC LYMPHOCYTE INFUSIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38242","description":"ALLOGENEIC LYMPHOCYTE INFUSIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGENEIC LYMPHOCYTE INFUSIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38242","description":"ALLOGENEIC LYMPHOCYTE INFUSIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20931","description":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20931","description":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4150","description":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4150","description":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-1-ANTITRYPSIN PHENOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82104","description":"ALPHA-1-ANTITRYPSIN PHENOTYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-1-ANTITRYPSIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82103","description":"ALPHA-1-ANTITRYPSIN TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-FETOPROTEIN AMNIOTIC FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82106","description":"ALPHA-FETOPROTEIN AMNIOTIC FLUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-FETOPROTEIN SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82105","description":"ALPHA-FETOPROTEIN SERUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS ROUTINE DISPOSABLE SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0398","description":"ALS ROUTINE DISPOSABLE SUPPLIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41830","description":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41830","description":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41874","description":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41874","description":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB OXYGEN AND O2 SUPPLIES LIFE SUSTAINING SITUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0422","description":"AMB OXYGEN AND O2 SUPPLIES LIFE SUSTAINING SITUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0427","description":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0426","description":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0430","description":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3182.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0431","description":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3699.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SRVC CONV AIR SRVC TRANS 1 WAY FIXED WING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0430","description":"AMB SRVC CONV AIR SRVC TRANS 1 WAY FIXED WING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3182.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0431","description":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3699.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0429","description":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0428","description":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE, BLS, PER MILE, TRANSPORT, ONE WAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0020","description":"AMBULANCE SERVICE, BLS, PER MILE, TRANSPORT, ONE WAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE WAITING TIME ONE-HALF HOUR INCREMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0420","description":"AMBULANCE WAITING TIME ONE-HALF HOUR INCREMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE WAITING TIME ONE-HALF HOUR INCREMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0420","description":"AMBULANCE WAITING TIME ONE-HALF HOUR INCREMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  REC SCAN ALYS I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93784","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  REC SCAN ALYS I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  REC SCAN ALYS I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93784","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  REC SCAN ALYS I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  RECORDING ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93786","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  RECORDING ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  RECORDING ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93786","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  RECORDING ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  REVIEW W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93790","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  REVIEW W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  REVIEW W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93790","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  REVIEW W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93788","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  SCANNING A/R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93788","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  SCANNING A/R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINES VAGINAL FLUID QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82120","description":"AMINES VAGINAL FLUID QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82127","description":"AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82131","description":"AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82136","description":"AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 6 OR GT  AMINO ACIDS QUANTITATIVE EA SPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82139","description":"AMINO ACIDS 6 OR GT  AMINO ACIDS QUANTITATIVE EA SPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82128","description":"AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID DELTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82135","description":"AMINOLEVULINIC ACID DELTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT  1 U DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7308","description":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT  1 U DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT  1 U DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7308","description":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT  1 U DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WRAP2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4221","description":"AMNIO WRAP2 PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2157.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2215.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WRAP2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4221","description":"AMNIO WRAP2 PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2157.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2215.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4239","description":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2242.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4239","description":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2242.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4151","description":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4151","description":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBIND OR DERMABIND TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4225","description":"AMNIOBIND OR DERMABIND TL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1507.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBIND OR DERMABIND TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4225","description":"AMNIOBIND OR DERMABIND TL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1507.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS DIAGNOSIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59000","description":"AMNIOCENTESIS DIAGNOSIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS DIAGNOSIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59000","description":"AMNIOCENTESIS DIAGNOSIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59001","description":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59001","description":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4137","description":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4137","description":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR OR ALTIPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4235","description":"AMNIOREPAIR OR ALTIPLY PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR OR ALTIPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4235","description":"AMNIOREPAIR OR ALTIPLY PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4247","description":"AMNIOTEXT PATCH PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4247","description":"AMNIOTEXT PATCH PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTIC FLU SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82143","description":"AMNIOTIC FLU SCAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27888","description":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27888","description":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24925","description":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24925","description":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25907","description":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25907","description":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26952","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26952","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26951","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26951","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25905","description":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25905","description":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25909","description":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25909","description":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27881","description":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27881","description":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27886","description":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27886","description":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27884","description":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27884","description":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26910","description":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26910","description":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27591","description":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27591","description":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27594","description":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27594","description":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24920","description":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24920","description":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24930","description":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24930","description":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24931","description":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24931","description":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24900","description":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24900","description":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28800","description":"AMPUTATION FOOT MIDTARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28800","description":"AMPUTATION FOOT MIDTARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT TRANSMETARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28805","description":"AMPUTATION FOOT TRANSMETARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT TRANSMETARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28805","description":"AMPUTATION FOOT TRANSMETARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25900","description":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25900","description":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27880","description":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27880","description":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27882","description":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27882","description":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION METATARSAL W/TOE SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28810","description":"AMPUTATION METATARSAL W/TOE SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION METATARSAL W/TOE SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28810","description":"AMPUTATION METATARSAL W/TOE SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54125","description":"AMPUTATION PENIS COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54125","description":"AMPUTATION PENIS COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54120","description":"AMPUTATION PENIS PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54120","description":"AMPUTATION PENIS PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS RADICAL W/LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54135","description":"AMPUTATION PENIS RADICAL W/LYMPH NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1393.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS RADICAL W/LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54135","description":"AMPUTATION PENIS RADICAL W/LYMPH NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1393.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54130","description":"AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1083.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54130","description":"AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1083.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27590","description":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27590","description":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27596","description":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27596","description":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27592","description":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27592","description":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28825","description":"AMPUTATION TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28825","description":"AMPUTATION TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28820","description":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28820","description":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92603","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92603","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92604","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92604","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92601","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92601","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92602","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92602","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92640","description":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92640","description":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61711","description":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2328.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2445.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61711","description":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2328.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2445.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47765","description":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2662.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2795.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47765","description":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2662.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2795.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33606","description":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1536.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33606","description":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1536.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47785","description":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2843.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2985.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47785","description":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2843.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2985.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47780","description":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2177.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2286.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47780","description":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2177.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2286.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47760","description":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1982.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2081.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47760","description":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1982.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2081.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL HYPOGLOSSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64868","description":"ANASTOMOSIS FACIAL HYPOGLOSSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL HYPOGLOSSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64868","description":"ANASTOMOSIS FACIAL HYPOGLOSSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64866","description":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1095.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64866","description":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1095.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTANEDIOL GLUCURONIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82154","description":"ANDROSTANEDIOL GLUCURONIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTENEDIONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82157","description":"ANDROSTENEDIONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82160","description":"ANDROSTERONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG  LT 4 PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01951","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG  LT 4 PCT  TBSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG  LT 4 PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01951","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG  LT 4 PCT  TBSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01952","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT  TBSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01952","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT  TBSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4  PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01951","description":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4  PCT  TBSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4-9  PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01952","description":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4-9  PCT  TBSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01420","description":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01420","description":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01390","description":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01390","description":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01820","description":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01820","description":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01392","description":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01392","description":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00300","description":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00300","description":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01320","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01320","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01250","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01250","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01810","description":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01810","description":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01610","description":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01610","description":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01260","description":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01260","description":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART KNEE POPLITEAL EXC and GRF/RPR OCCLS/ARYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01444","description":"ANES ART KNEE POPLITEAL EXC and GRF/RPR OCCLS/ARYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART KNEE POPLITEAL TEAEC W/WO PATCH GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01442","description":"ANES ART KNEE POPLITEAL TEAEC W/WO PATCH GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART LOWER LEG W/BYP GRAFT EMBLC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01502","description":"ANES ART LOWER LEG W/BYP GRAFT EMBLC DIR/W/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01272","description":"ANES ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTERIES FOREARM WRIST  AND  HAND EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01842","description":"ANES ARTERIES FOREARM WRIST  AND  HAND EMBOLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTERIES OF KNEE  AND  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01440","description":"ANES ARTERIES OF KNEE  AND  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTERIES SHOULDER  AND  AXILLA BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01654","description":"ANES ARTERIES SHOULDER  AND  AXILLA BYPASS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01638","description":"ANES ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS HUMERAL H/N STRNCLAV  and  SHOULDER NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01630","description":"ANES ARTHRS HUMERAL H/N STRNCLAV  and  SHOULDER NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01636","description":"ANES ARTHRS INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS/ENDSCPY DSTL RADIUS ULNA/WRIST/HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01830","description":"ANES ARTHRS/ENDSCPY DSTL RADIUS ULNA/WRIST/HAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01830","description":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01830","description":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01112","description":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01112","description":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01968","description":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":53.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":56.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01968","description":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":53.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":56.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES C-CATHJ W/C ANGIOGRAPHY  and  VENTRICULOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01920","description":"ANES C-CATHJ W/C ANGIOGRAPHY  and  VENTRICULOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES C-CATHJ W/C ANGIOGRAPHY  and  VENTRICULOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01920","description":"ANES C-CATHJ W/C ANGIOGRAPHY  and  VENTRICULOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CARDIAC ELECTROPHYSIOL STDY W/RF ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00537","description":"ANES CARDIAC ELECTROPHYSIOL STDY W/RF ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CAST APPLICATION REMOVAL/REPAIR KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01420","description":"ANES CAST APPLICATION REMOVAL/REPAIR KNEE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CERVICAL SPINE  and  CORD W/PATIENT SITTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00604","description":"ANES CERVICAL SPINE  and  CORD W/PATIENT SITTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01968","description":"ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":53.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":56.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01969","description":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01969","description":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED HUMRL H/N STRNCLAV JOINT and  SHO JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01620","description":"ANES CLOSED HUMRL H/N STRNCLAV JOINT and  SHO JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED PROC UPPER END TIBIA FIBULA/PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01390","description":"ANES CLOSED PROC UPPER END TIBIA FIBULA/PATELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01160","description":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01160","description":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01160","description":"ANES CLOSED SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00529","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":270.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":285.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":294.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":309.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00529","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":270.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":285.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":294.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":309.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00528","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00528","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01620","description":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01620","description":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COLPTMY VAGNC COLPRPHY INCL BX W/OPN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00942","description":"ANES COLPTMY VAGNC COLPRPHY INCL BX W/OPN URTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99140","description":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99140","description":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99116","description":"ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99116","description":"ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP UTILIZATION CONTROLLED HYPOTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99135","description":"ANES COMP UTILIZATION CONTROLLED HYPOTENSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP UTILIZATION CONTROLLED HYPOTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99135","description":"ANES COMP UTILIZATION CONTROLLED HYPOTENSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMPLETE AMPUTATION PENIS INCL OPEN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00932","description":"ANES COMPLETE AMPUTATION PENIS INCL OPEN URTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMPLICJ EMERGENCY CONDITIONS SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99140","description":"ANES COMPLICJ EMERGENCY CONDITIONS SPECIFY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMPLICJ UTILIZATION CONTROLLED HYPOTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99135","description":"ANES COMPLICJ UTILIZATION CONTROLLED HYPOTENSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMPLICJ UTILIZATION TOTAL BODY HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99116","description":"ANES COMPLICJ UTILIZATION TOTAL BODY HYPOTHERMIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIAG ARTHROSCOPIC SHOULDER JOINT PROC NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01622","description":"ANES DIAG ARTHROSCOPIC SHOULDER JOINT PROC NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00635","description":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00635","description":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/O PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00566","description":"ANES DIRECT CABG W/O PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":615.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":647.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":668.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":704.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/O PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00566","description":"ANES DIRECT CABG W/O PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":615.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":647.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":668.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":704.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00567","description":"ANES DIRECT CABG W/PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":442.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":466.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":481.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":506.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00567","description":"ANES DIRECT CABG W/PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":442.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":466.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":481.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":506.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01992","description":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01992","description":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NERVE BLOCK/INJECTION PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01992","description":"ANES DX/THER NERVE BLOCK/INJECTION PRONE POS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01991","description":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01991","description":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NRV BLK/NJX OTH/THN PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01991","description":"ANES DX/THER NRV BLK/NJX OTH/THN PRONE POS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00322","description":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00322","description":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYRD LARX TRACH  AND  LYMPH NCK BX THYRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00322","description":"ANES ESOPH THYRD LARX TRACH  AND  LYMPH NCK BX THYRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYRD LARYNX TRACH  AND  LYMPH NECK 1YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00320","description":"ANES ESOPH THYRD LARYNX TRACH  AND  LYMPH NECK 1YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES EXTERNAL MIDDLE  and  INNER EAR W/BX OTOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00124","description":"ANES EXTERNAL MIDDLE  and  INNER EAR W/BX OTOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00860","description":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00860","description":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES FACIAL BONES/SKULL RAD SURG W/PROGNATHISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00192","description":"ANES FACIAL BONES/SKULL RAD SURG W/PROGNATHISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01860","description":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01860","description":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00580","description":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":492.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":518.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":535.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":563.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00580","description":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":492.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":518.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":535.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":563.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LOWER ABDOMEN NOS  AND  1YR AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00834","description":"ANES HERNIA REPAIR LOWER ABDOMEN NOS  AND  1YR AGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00834","description":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00834","description":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00832","description":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00832","description":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00754","description":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00754","description":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00756","description":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00756","description":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00836","description":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00836","description":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR LWR ABD NOS INFTS  LT 37WK BRTH/50WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00836","description":"ANES HRNA RPR LWR ABD NOS INFTS  LT 37WK BRTH/50WK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR UPR ABD LMBR AND VENTRAL HERNIA AND DEHISC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00752","description":"ANES HRNA RPR UPR ABD LMBR AND VENTRAL HERNIA AND DEHISC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00752","description":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00752","description":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PERICARD SAC and GREAT VSLS W/PMP OXTJ  LT 1YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00561","description":"ANES HRT PERICARD SAC and GREAT VSLS W/PMP OXTJ  LT 1YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":615.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":647.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":668.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":704.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PERICARDIAL SAC and  GRT VESLS W/O PMP OXT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00560","description":"ANES HRT PERICARDIAL SAC and  GRT VESLS W/O PMP OXT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PERICRD SAC and GRT VSLS W/PMP OXTJ  GT 1MO PO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00562","description":"ANES HRT PERICRD SAC and GRT VSLS W/PMP OXTJ  GT 1MO PO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":492.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":518.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":535.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":563.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PRCRD SAC  and  GREAT VSL W/PUMP OXTJ HYPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00563","description":"ANES HRT PRCRD SAC  and  GREAT VSL W/PUMP OXTJ HYPTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":615.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":647.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":668.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":704.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY W/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00952","description":"ANES HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY W/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00220","description":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00220","description":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00211","description":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00211","description":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00215","description":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":233.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":240.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":253.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00215","description":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":233.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":240.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":253.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICRA ICAR/AORTIC THER IVNTL RAD ARTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01926","description":"ANES ICRA ICAR/AORTIC THER IVNTL RAD ARTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG EXTREMITIES ANT TRUNK  AND  PERINEUM NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00400","description":"ANES INTEG EXTREMITIES ANT TRUNK  AND  PERINEUM NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG MUSC  AND  NRV HEAD NECK AND POSTERIOR TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00300","description":"ANES INTEG MUSC  AND  NRV HEAD NECK AND POSTERIOR TRUNK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG SYS ELEC CONVERSION ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00410","description":"ANES INTEG SYS ELEC CONVERSION ARRHYTHMIAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00406","description":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00406","description":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL BURR HOLES W/VENTRICULOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00214","description":"ANES INTRACRANIAL BURR HOLES W/VENTRICULOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":233.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":240.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":253.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL CEREBROSPINAL FLUID SHUNTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00220","description":"ANES INTRACRANIAL CEREBROSPINAL FLUID SHUNTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL CRANIOTOMY/CRANIECTOMY HMTMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00211","description":"ANES INTRACRANIAL CRANIOTOMY/CRANIECTOMY HMTMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL ELECTROCOAGULATION ICRA NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00222","description":"ANES INTRACRANIAL ELECTROCOAGULATION ICRA NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00218","description":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00218","description":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00214","description":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":233.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":240.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":253.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00214","description":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":233.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":240.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":253.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00222","description":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00222","description":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL/ELEVATION DEPRSD SKULL FX XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00215","description":"ANES INTRACRANIAL/ELEVATION DEPRSD SKULL FX XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":233.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":240.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":253.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00172","description":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00172","description":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00174","description":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00174","description":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL W/BIOPSY REPAIR CLEFT PALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00172","description":"ANES INTRAORAL W/BIOPSY REPAIR CLEFT PALATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL W/BX EXC RETROPHARYNGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00174","description":"ANES INTRAORAL W/BX EXC RETROPHARYNGEAL TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00790","description":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00790","description":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00844","description":"ANES IPER LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABD W/LAPS PELVIC EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00848","description":"ANES IPER LOWER ABD W/LAPS PELVIC EXENTERATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABD W/LAPS RAD HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00846","description":"ANES IPER LOWER ABD W/LAPS RAD HYSTERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABDOMEN W/LAPS AMNIOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00842","description":"ANES IPER LOWER ABDOMEN W/LAPS AMNIOCENTESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LWR ABD W/LAPS TUBAL LIGATION/TRANSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00851","description":"ANES IPER LWR ABD W/LAPS TUBAL LIGATION/TRANSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00844","description":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00844","description":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00846","description":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00846","description":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00842","description":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00842","description":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00848","description":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00848","description":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00851","description":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00851","description":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00797","description":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":270.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":285.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":294.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":309.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00797","description":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":270.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":285.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":294.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":309.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD LIVER TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00796","description":"ANES IPER UPR ABD LIVER TRANSPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":738.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":777.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":802.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":844.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD LIVER TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00796","description":"ANES IPER UPR ABD LIVER TRANSPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":738.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":777.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":802.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":844.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00794","description":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00794","description":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00792","description":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00792","description":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPR UPPER ABDOMEN LAPS GASTRIC RSTCV MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00797","description":"ANES IPR UPPER ABDOMEN LAPS GASTRIC RSTCV MO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":270.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":285.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":294.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":309.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES KNEE  AND  POPLITEAL ARTERY VEIN FISTULA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01432","description":"ANES KNEE  AND  POPLITEAL ARTERY VEIN FISTULA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LAPAROSCOPIC LIVER TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00796","description":"ANES LAPAROSCOPIC LIVER TRANSPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":738.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":777.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":802.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":844.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LAPAROSCOPIC PARTIAL/TOTAL PANCREATECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00794","description":"ANES LAPAROSCOPIC PARTIAL/TOTAL PANCREATECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LAPS PARTIAL HEPATECTOMY W/MGMT LIVER HEMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00792","description":"ANES LAPS PARTIAL HEPATECTOMY W/MGMT LIVER HEMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00873","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00873","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00872","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00872","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LOWER ANT ABDOMINAL WALL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00802","description":"ANES LOWER ANT ABDOMINAL WALL PANNICULECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LOWER INTESTINE ENDOSCOPY DISTAL DUODENUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00810","description":"ANES LOWER INTESTINE ENDOSCOPY DISTAL DUODENUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01490","description":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01490","description":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LWR ABD VENTRAL  AND  INCISIONAL HERNIA REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00832","description":"ANES LWR ABD VENTRAL  AND  INCISIONAL HERNIA REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MAJOR LOWER ABDOMINAL VESSELS IVC LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00882","description":"ANES MAJOR LOWER ABDOMINAL VESSELS IVC LIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00934","description":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00934","description":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MANIPULATE SPINE/CLSD CRV THORC/LUMBR SPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00640","description":"ANES MANIPULATE SPINE/CLSD CRV THORC/LUMBR SPINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MEDIASTINOSCOPY and THORACOSCOPY W/1 LUNG VNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00529","description":"ANES MEDIASTINOSCOPY and THORACOSCOPY W/1 LUNG VNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":270.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":285.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":294.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":309.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MEDIASTINOSCOPY and THORACSCOPY W/O 1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00528","description":"ANES MEDIASTINOSCOPY and THORACSCOPY W/O 1 LUNG VNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00640","description":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00640","description":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NERVE MUSC TENDON FASCIA  AND  BURSAE UPPER LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01250","description":"ANES NERVE MUSC TENDON FASCIA  AND  BURSAE UPPER LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NERVE MUSC TENDON FASCIA and BURSA KNEE and /POPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01320","description":"ANES NERVE MUSC TENDON FASCIA and BURSA KNEE and /POPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NERVE MUSCLE TDN FASCIA AND BURSA FOREARM WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01810","description":"ANES NERVE MUSCLE TDN FASCIA AND BURSA FOREARM WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01922","description":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01922","description":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NOSE  AND  ACCESSORY SINUSES BIOPSY SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00164","description":"ANES NOSE  AND  ACCESSORY SINUSES BIOPSY SOFT TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NOSE  AND  ACCESSORY SINUSES RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00162","description":"ANES NOSE  AND  ACCESSORY SINUSES RADICAL SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01716","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01716","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01714","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01714","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01710","description":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01710","description":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR ARM/ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01710","description":"ANES NRV MUSC TDN FSCA and BRS UPR ARM/ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TNDN FSCIA BURSA SHOULDER  AND  AXILLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01610","description":"ANES NRV MUSC TNDN FSCIA BURSA SHOULDER  AND  AXILLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV/MUS/TND/FASC LOWER LEG/ANKLE/FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01470","description":"ANES NRV/MUS/TND/FASC LOWER LEG/ANKLE/FOOT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN OSTEOTOMY/OSTEOPLASTY TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01484","description":"ANES OPEN OSTEOTOMY/OSTEOPLASTY TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PROC BONES LOWER LEG/ANKLE/FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01480","description":"ANES OPEN PROC BONES LOWER LEG/ANKLE/FOOT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PROC UPPER ENDS TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01392","description":"ANES OPEN PROC UPPER ENDS TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01484","description":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01484","description":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01482","description":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01482","description":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01480","description":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01480","description":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01170","description":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01170","description":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01234","description":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01234","description":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01170","description":"ANES OPEN SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01634","description":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":233.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":240.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":253.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01634","description":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":233.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":240.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":253.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01636","description":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01636","description":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC ELBOW PROC NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01740","description":"ANES OPEN/SURG ARTHROSCOPIC ELBOW PROC NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC PROC KNEE JOINT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01400","description":"ANES OPEN/SURG ARTHROSCOPIC PROC KNEE JOINT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01400","description":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01400","description":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01404","description":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01404","description":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01760","description":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01760","description":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS REPRS NON/MALUNION HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01744","description":"ANES OPEN/SURG ARTHRS REPRS NON/MALUNION HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01402","description":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01402","description":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN RPR DISRPJ PELVIS/COLUMN FX ACETABULUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01173","description":"ANES OPN RPR DISRPJ PELVIS/COLUMN FX ACETABULUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":295.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":310.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":321.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":337.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01173","description":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":295.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":310.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":321.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":337.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01173","description":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":295.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":310.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":321.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":337.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01630","description":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01630","description":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01638","description":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01638","description":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01758","description":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01758","description":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01744","description":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01744","description":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ORCHIOPEXY UNI/BI INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00930","description":"ANES ORCHIOPEXY UNI/BI INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00530","description":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00530","description":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01444","description":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01444","description":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01442","description":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01442","description":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01502","description":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01502","description":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01652","description":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01652","description":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01656","description":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01656","description":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01272","description":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01272","description":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01274","description":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01274","description":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01842","description":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01842","description":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES OF KNEE  and  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01440","description":"ANES PX ARTERIES OF KNEE  and  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES OF KNEE  and  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01440","description":"ANES PX ARTERIES OF KNEE  and  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01654","description":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01654","description":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX CERVICAL SPINE  and  CORD W/PATIENT SITTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00604","description":"ANES PX CERVICAL SPINE  and  CORD W/PATIENT SITTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX CERVICAL SPINE  and  CORD W/PATIENT SITTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00604","description":"ANES PX CERVICAL SPINE  and  CORD W/PATIENT SITTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00320","description":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00320","description":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00126","description":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00126","description":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00124","description":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00124","description":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00192","description":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00192","description":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00560","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00560","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00561","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":615.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":647.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":668.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":704.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00561","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":615.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":647.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":668.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":704.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00563","description":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":615.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":647.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":668.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":704.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00563","description":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":615.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":647.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":668.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":704.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00562","description":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":492.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":518.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":535.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":563.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00562","description":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":492.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":518.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":535.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":563.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00410","description":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00410","description":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS XTR ANT TRUNK  and  PERINEUM NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00400","description":"ANES PX INTEG SYS XTR ANT TRUNK  and  PERINEUM NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS XTR ANT TRUNK  and  PERINEUM NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00400","description":"ANES PX INTEG SYS XTR ANT TRUNK  and  PERINEUM NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00802","description":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00802","description":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00882","description":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00882","description":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00932","description":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00932","description":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00930","description":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00930","description":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00928","description":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00928","description":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00924","description":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00924","description":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00921","description":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00921","description":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00926","description":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00926","description":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01712","description":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01712","description":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01470","description":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01470","description":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00120","description":"ANES PX ON EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00120","description":"ANES PX ON EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00164","description":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00164","description":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00162","description":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00162","description":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00702","description":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00702","description":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01852","description":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01852","description":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01522","description":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01522","description":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01432","description":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01432","description":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUINAL LYMPH NODE RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00934","description":"ANES RAD AMP PENIS W/BI INGUINAL LYMPH NODE RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00936","description":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00936","description":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUNL and ILIAC LYMPH RMOVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00936","description":"ANES RAD AMP PENIS W/BI INGUNL and ILIAC LYMPH RMOVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD ORCHIECTOMY ABDOMINAL INCL OPN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00928","description":"ANES RAD ORCHIECTOMY ABDOMINAL INCL OPN URTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD ORCHIECTOMY INGUN INCL OPEN URTL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00926","description":"ANES RAD ORCHIECTOMY INGUN INCL OPEN URTL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01150","description":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01150","description":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL RESECJ INCL BELOW KNEE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01482","description":"ANES RADICAL RESECJ INCL BELOW KNEE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL TUMOR PELVIS XCP HINDQUARTER AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01150","description":"ANES RADICAL TUMOR PELVIS XCP HINDQUARTER AMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL/MODIFIED RADICAL BREAST W/NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00406","description":"ANES RADICAL/MODIFIED RADICAL BREAST W/NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADIUS ULNA WRIST/HAND BONES CLOSED PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01820","description":"ANES RADIUS ULNA WRIST/HAND BONES CLOSED PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01472","description":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01472","description":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RPR RUPTURED ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01472","description":"ANES RPR RUPTURED ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES SEMINAL VESICLES INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00922","description":"ANES SEMINAL VESICLES INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01680","description":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01680","description":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01926","description":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01926","description":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01925","description":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01925","description":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01931","description":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01931","description":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01930","description":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01930","description":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACIC SPINE  and  CORD ANT APPR W/1 LNG VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00626","description":"ANES THORACIC SPINE  and  CORD ANT APPR W/1 LNG VENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACIC SPINE  and  CORD ANT APPR W/1 LNG VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00626","description":"ANES THORACIC SPINE  and  CORD ANT APPR W/1 LNG VENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY  AND  THORACOSCOPY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00542","description":"ANES THORACOTOMY  AND  THORACOSCOPY DECORTICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY  AND  THORACOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00540","description":"ANES THORACOTOMY  AND  THORACOSCOPY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":295.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":310.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":321.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":337.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY  AND  THORACOSCOPY PULMONARY RESC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00546","description":"ANES THORACOTOMY  AND  THORACOSCOPY PULMONARY RESC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY  AND THORACSCOPY TRACHEA  AND  BRONCHI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00548","description":"ANES THORACOTOMY  AND THORACSCOPY TRACHEA  AND  BRONCHI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":418.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":440.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":454.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":478.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY  and  THORACOSCOPY W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00541","description":"ANES THORACOTOMY  and  THORACOSCOPY W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00548","description":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":418.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":440.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":454.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":478.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00548","description":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":418.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":440.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":454.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":478.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00546","description":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00546","description":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THRC SPINE  and  CORD ANT APPR W/O 1 LUNG VENTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00625","description":"ANES THRC SPINE  and  CORD ANT APPR W/O 1 LUNG VENTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THRC SPINE  and  CORD ANT APPR W/O 1 LUNG VENTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00625","description":"ANES THRC SPINE  and  CORD ANT APPR W/O 1 LUNG VENTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00912","description":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00912","description":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00910","description":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00910","description":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL RESECTION OF BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00912","description":"ANES TRANSURETHRAL RESECTION OF BLADDER TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00910","description":"ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00534","description":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00534","description":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL FRAGMNTJ MANJ and /RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00918","description":"ANES TRURL FRAGMNTJ MANJ and /RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL POST-TRURL RESECTION BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00916","description":"ANES TRURL POST-TRURL RESECTION BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00918","description":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00918","description":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00916","description":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00916","description":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES UNDSCND TESTIS UNI/BI INCL OPEN URTL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00924","description":"ANES UNDSCND TESTIS UNI/BI INCL OPEN URTL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES UPPER 2/3 FEMUR RADICAL RESCECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01234","description":"ANES UPPER 2/3 FEMUR RADICAL RESCECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES UPPER LEG W/BYPASS GRFT FEM ART EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01274","description":"ANES UPPER LEG W/BYPASS GRFT FEM ART EMBOLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00702","description":"ANES UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01962","description":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01962","description":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00942","description":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00942","description":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00952","description":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00952","description":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VASECTOMY UNI/BI INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00921","description":"ANES VASECTOMY UNI/BI INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VEINS FOREARM WRIST  AND  HAND PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01852","description":"ANES VEINS FOREARM WRIST  AND  HAND PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01522","description":"ANES VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VEINS OF UPPER LEG INCLUDING EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01260","description":"ANES VEINS OF UPPER LEG INCLUDING EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VENOUS/LYMPHATIC NOS THER IVNTL RAD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01930","description":"ANES VENOUS/LYMPHATIC NOS THER IVNTL RAD NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRNL MID  and  INNER EAR W/BX TYMPANOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00126","description":"ANES XTRNL MID  and  INNER EAR W/BX TYMPANOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LOWER ABD UR TRACT RENAL DON NFRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00862","description":"ANES XTRPRTL LOWER ABD UR TRACT RENAL DON NFRCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LOWER ABD W/URIN TRACT ADRENLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00866","description":"ANES XTRPRTL LOWER ABD W/URIN TRACT ADRENLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWER ABD W/URINARY TRACT TOT CYSTEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00864","description":"ANES XTRPRTL LWER ABD W/URINARY TRACT TOT CYSTEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWR ABD W/URIN TRACT CSTOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00870","description":"ANES XTRPRTL LWR ABD W/URIN TRACT CSTOLITHOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWR ABD W/URIN TRACT RENAL TRANSPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00868","description":"ANES XTRPRTL LWR ABD W/URIN TRACT RENAL TRANSPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00865","description":"ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00866","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00866","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00865","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00865","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00862","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00862","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00868","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00868","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00864","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00864","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00870","description":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00870","description":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH DIAGNOSTIC ARTHROSCOPIC PROC KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01382","description":"ANESTH DIAGNOSTIC ARTHROSCOPIC PROC KNEE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS EXC CYST/TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01758","description":"ANESTH OPEN/SURG ARTHRS EXC CYST/TUMOR HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS KNEE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01404","description":"ANESTH OPEN/SURG ARTHRS KNEE DISARTICULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS TOTAL ELBOW REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01760","description":"ANESTH OPEN/SURG ARTHRS TOTAL ELBOW REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01402","description":"ANESTH OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00532","description":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00532","description":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01380","description":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01380","description":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01340","description":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01340","description":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE  and  FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01462","description":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE  and  FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE  and  FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01462","description":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE  and  FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01360","description":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01360","description":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00500","description":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00500","description":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00326","description":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00326","description":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00770","description":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00770","description":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01670","description":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01670","description":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ANORECTAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00902","description":"ANESTHESIA ANORECTAL PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ANORECTAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00902","description":"ANESTHESIA ANORECTAL PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES FOREARM WRIST  AND  HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01840","description":"ANESTHESIA ARTERIES FOREARM WRIST  AND  HAND NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES LOWER LEG W/BYPASS GRAFT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01500","description":"ANESTHESIA ARTERIES LOWER LEG W/BYPASS GRAFT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES SHOULDER  AND  AXILLA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01650","description":"ANESTHESIA ARTERIES SHOULDER  AND  AXILLA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES UPPER ARM  AND  ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01770","description":"ANESTHESIA ARTERIES UPPER ARM  AND  ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES UPPER ARM AND ELBOW EMBOLECTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01772","description":"ANESTHESIA ARTERIES UPPER ARM AND ELBOW EMBOLECTOM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES UPPER LEG INCL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01270","description":"ANESTHESIA ARTERIES UPPER LEG INCL BYPASS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC HIP JOINT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01202","description":"ANESTHESIA ARTHROSCOPIC HIP JOINT PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE  AND  FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01464","description":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE  AND  FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01464","description":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01464","description":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01202","description":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01202","description":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC SHOULDER DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01634","description":"ANESTHESIA ARTHROSCOPIC SHOULDER DISARTICULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":233.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":240.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":253.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01832","description":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01832","description":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHRS/ENDOSCPIC TOTAL WRIST REPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01832","description":"ANESTHESIA ARTHRS/ENDOSCPIC TOTAL WRIST REPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA AXILLARY-BRACHIAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01652","description":"ANESTHESIA AXILLARY-BRACHIAL ANEURYSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA AXILLARY-FEMORAL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01656","description":"ANESTHESIA AXILLARY-FEMORAL BYPASS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA BICEPS TENODESIS RUPTURE LONG TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01716","description":"ANESTHESIA BICEPS TENODESIS RUPTURE LONG TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA BODY CAST APPLICATION OR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01130","description":"ANESTHESIA BODY CAST APPLICATION OR REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA BODY CAST APPLICATION OR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01130","description":"ANESTHESIA BODY CAST APPLICATION OR REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01963","description":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01963","description":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00537","description":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00537","description":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CAROTID/CORONARY THER IVNTL RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01925","description":"ANESTHESIA CAROTID/CORONARY THER IVNTL RAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CERVICAL CERCLAGE INCLUDING BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00948","description":"ANESTHESIA CERVICAL CERCLAGE INCLUDING BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CERVICAL SPINE  AND  CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00600","description":"ANESTHESIA CERVICAL SPINE  AND  CORD NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01961","description":"ANESTHESIA CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01961","description":"ANESTHESIA CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLAVICLE  AND  SCAPULA BIOPSY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00454","description":"ANESTHESIA CLAVICLE  AND  SCAPULA BIOPSY CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLAVICLE AND SCAPULA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00450","description":"ANESTHESIA CLAVICLE AND SCAPULA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLEFT LIP INVOLVING PLASTIC REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00102","description":"ANESTHESIA CLEFT LIP INVOLVING PLASTIC REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST NEEDLE BIOPSY PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00522","description":"ANESTHESIA CLOSED CHEST NEEDLE BIOPSY PLEURA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PNEUMOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00524","description":"ANESTHESIA CLOSED CHEST PNEUMOCENTESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00522","description":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00522","description":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00524","description":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00524","description":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00520","description":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00520","description":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST W/BRONCHOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00520","description":"ANESTHESIA CLOSED CHEST W/BRONCHOSCOPY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED HIP JOINT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01200","description":"ANESTHESIA CLOSED HIP JOINT PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROC LOWER LEG ANKLE  AND  FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01462","description":"ANESTHESIA CLOSED PROC LOWER LEG ANKLE  AND  FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES HUMERUS  AND  ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01730","description":"ANESTHESIA CLOSED PROCEDURES HUMERUS  AND  ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES HUMERUS  AND  ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01730","description":"ANESTHESIA CLOSED PROCEDURES HUMERUS  AND  ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01380","description":"ANESTHESIA CLOSED PROCEDURES KNEE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01340","description":"ANESTHESIA CLOSED PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01220","description":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01220","description":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00813","description":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00813","description":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CULDOSCOPY INCLUDING BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00950","description":"ANESTHESIA CULDOSCOPY INCLUDING BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01916","description":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01916","description":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01916","description":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PROC WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01829","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PROC WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01382","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01382","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01829","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01829","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01732","description":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01732","description":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01622","description":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01622","description":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ELBOW JOINT DIAGNOSTIC ARTHROSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01732","description":"ANESTHESIA ELBOW JOINT DIAGNOSTIC ARTHROSCOPIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00104","description":"ANESTHESIA ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00104","description":"ANESTHESIA ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00500","description":"ANESTHESIA ESOPHAGUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTENSIVE SPINE  AND  SPINAL CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00670","description":"ANESTHESIA EXTENSIVE SPINE  AND  SPINAL CORD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00670","description":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00670","description":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTERNAL CEPHALIC VERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01958","description":"ANESTHESIA EXTERNAL CEPHALIC VERSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTERNAL CEPHALIC VERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01958","description":"ANESTHESIA EXTERNAL CEPHALIC VERSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00120","description":"ANESTHESIA EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99100","description":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99100","description":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTREME AGE PATIENT UNDER 1 YR OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99100","description":"ANESTHESIA EXTREME AGE PATIENT UNDER 1 YR OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE CORNEAL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00144","description":"ANESTHESIA EYE CORNEAL TRANSPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00147","description":"ANESTHESIA EYE IRIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE LENS SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00142","description":"ANESTHESIA EYE LENS SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00140","description":"ANESTHESIA EYE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE OPHTHALMOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00148","description":"ANESTHESIA EYE OPHTHALMOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE VITREORETINAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00145","description":"ANESTHESIA EYE VITREORETINAL SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYELID RECONSTRUCTIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00103","description":"ANESTHESIA EYELID RECONSTRUCTIVE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FACIAL BONES OR SKULL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00190","description":"ANESTHESIA FACIAL BONES OR SKULL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01200","description":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01200","description":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00350","description":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00350","description":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00550","description":"ANESTHESIA FOR STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00550","description":"ANESTHESIA FOR STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01474","description":"ANESTHESIA GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01474","description":"ANESTHESIA GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00830","description":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00830","description":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00750","description":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00750","description":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INCOMPLETE/MISSED ABORTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01965","description":"ANESTHESIA INCOMPLETE/MISSED ABORTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01965","description":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01965","description":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INDUCED ABORTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01966","description":"ANESTHESIA INDUCED ABORTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INDUCED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01966","description":"ANESTHESIA INDUCED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INDUCED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01966","description":"ANESTHESIA INDUCED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTERPELVI ABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01140","description":"ANESTHESIA INTERPELVI ABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01140","description":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01140","description":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00210","description":"ANESTHESIA INTRACRANIAL PROCEDURE NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":270.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":285.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":294.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":309.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00212","description":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00212","description":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00210","description":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":270.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":285.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":294.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":309.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00210","description":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":270.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":285.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":294.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":309.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00216","description":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00216","description":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL VASCULAR PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00216","description":"ANESTHESIA INTRACRANIAL VASCULAR PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAHEPATIC/PORTAL THER IVNTL RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01931","description":"ANESTHESIA INTRAHEPATIC/PORTAL THER IVNTL RAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00176","description":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00176","description":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00170","description":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":138.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":150.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00170","description":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":138.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":150.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL W/BIOPSY RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00176","description":"ANESTHESIA INTRAORAL W/BIOPSY RADICAL SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL WITH BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00170","description":"ANESTHESIA INTRAORAL WITH BIOPSY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":138.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":150.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAPERITONEAL LOWER ABD W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00840","description":"ANESTHESIA INTRAPERITONEAL LOWER ABD W/LAPS NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00840","description":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00840","description":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRATHORACIC/JUGULAR THER IVNTL RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01932","description":"ANESTHESIA INTRATHORACIC/JUGULAR THER IVNTL RAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LARYNX  and  TRACHEA CHILDREN  LT 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00326","description":"ANESTHESIA LARYNX  and  TRACHEA CHILDREN  LT 1 YEAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00800","description":"ANESTHESIA LOWER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00811","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00811","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00812","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00812","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00820","description":"ANESTHESIA LOWER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LUMBAR REGION LUMBAR SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00632","description":"ANESTHESIA LUMBAR REGION LUMBAR SYMPATHECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LUMBAR REGION NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00630","description":"ANESTHESIA LUMBAR REGION NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR ABDOMINAL BLOOD VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00770","description":"ANESTHESIA MAJOR ABDOMINAL BLOOD VESSELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR LOWER ABDOMINAL VESSELS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00880","description":"ANESTHESIA MAJOR LOWER ABDOMINAL VESSELS NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR VESSELS NECK NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00350","description":"ANESTHESIA MAJOR VESSELS NECK NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00352","description":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00352","description":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MALE GENITALIA INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00920","description":"ANESTHESIA MALE GENITALIA INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA NOSE  AND  ACCESSORY SINUSES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00160","description":"ANESTHESIA NOSE  AND  ACCESSORY SINUSES NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ON BONY PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01120","description":"ANESTHESIA ON BONY PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN HIP JOINT DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01212","description":"ANESTHESIA OPEN HIP JOINT DISARTICULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN HIP JOINT PROCEDURE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01210","description":"ANESTHESIA OPEN HIP JOINT PROCEDURE NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01210","description":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01210","description":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01360","description":"ANESTHESIA OPEN PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01230","description":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01230","description":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01212","description":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01212","description":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01215","description":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01215","description":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01486","description":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01486","description":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01214","description":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01214","description":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01232","description":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01232","description":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN REVISION TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01215","description":"ANESTHESIA OPEN REVISION TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN TENOTOMY ELBOW TO SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01712","description":"ANESTHESIA OPEN TENOTOMY ELBOW TO SHOULDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN TOTAL ANKLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01486","description":"ANESTHESIA OPEN TOTAL ANKLE REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01214","description":"ANESTHESIA OPEN TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01740","description":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01740","description":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01742","description":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01742","description":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS OSTEOTOMY HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01742","description":"ANESTHESIA OPEN/SURG ARTHRS OSTEOTOMY HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01756","description":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01756","description":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS RADICAL PROC ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01756","description":"ANESTHESIA OPEN/SURG ARTHRS RADICAL PROC ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00470","description":"ANESTHESIA PARTIAL RIB RESECTION NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00470","description":"ANESTHESIA PARTIAL RIB RESECTION NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00474","description":"ANESTHESIA PARTIAL RIB RESECTION RADICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00474","description":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00474","description":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":319.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":336.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":347.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":366.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00472","description":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00472","description":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PERINEAL PROSTATECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00908","description":"ANESTHESIA PERINEAL PROSTATECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PERINEAL PROSTATECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00908","description":"ANESTHESIA PERINEAL PROSTATECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00630","description":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00630","description":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES ON BONY PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01120","description":"ANESTHESIA PROCEDURES ON BONY PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES ON BONY PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01120","description":"ANESTHESIA PROCEDURES ON BONY PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01840","description":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01840","description":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01500","description":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01500","description":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01650","description":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01650","description":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01770","description":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01770","description":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER LEG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01270","description":"ANESTHESIA PX ARTERIES UPPER LEG NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER LEG NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01270","description":"ANESTHESIA PX ARTERIES UPPER LEG NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":207.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":214.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":225.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01772","description":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01772","description":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CERVICAL SPINE  and  CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00600","description":"ANESTHESIA PX CERVICAL SPINE  and  CORD NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CERVICAL SPINE  and  CORD NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00600","description":"ANESTHESIA PX CERVICAL SPINE  and  CORD NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE  and  SCAPULA BIOPSY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00454","description":"ANESTHESIA PX CLAVICLE  and  SCAPULA BIOPSY CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE  and  SCAPULA BIOPSY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00454","description":"ANESTHESIA PX CLAVICLE  and  SCAPULA BIOPSY CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00450","description":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00450","description":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00404","description":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00404","description":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00402","description":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00402","description":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00102","description":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00102","description":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00800","description":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00800","description":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00820","description":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00820","description":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00632","description":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00632","description":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00880","description":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00880","description":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00920","description":"ANESTHESIA PX MALE GENITALIA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00920","description":"ANESTHESIA PX MALE GENITALIA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00922","description":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00922","description":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00144","description":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00144","description":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00147","description":"ANESTHESIA PX ON EYE IRIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00147","description":"ANESTHESIA PX ON EYE IRIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE LENS SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00142","description":"ANESTHESIA PX ON EYE LENS SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE LENS SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00142","description":"ANESTHESIA PX ON EYE LENS SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00140","description":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00140","description":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00148","description":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00148","description":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00145","description":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00145","description":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00190","description":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00190","description":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON NOSE  and  ACCESSORY SINUSES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00160","description":"ANESTHESIA PX ON NOSE  and  ACCESSORY SINUSES NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON NOSE  and  ACCESSORY SINUSES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00160","description":"ANESTHESIA PX ON NOSE  and  ACCESSORY SINUSES NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00100","description":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00100","description":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX THORACIC SPINE  and  CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00620","description":"ANESTHESIA PX THORACIC SPINE  and  CORD NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX THORACIC SPINE  and  CORD NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00620","description":"ANESTHESIA PX THORACIC SPINE  and  CORD NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00700","description":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00700","description":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00730","description":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00730","description":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01850","description":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01850","description":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS KNEE  and  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01430","description":"ANESTHESIA PX VEINS KNEE  and  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS KNEE  and  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01430","description":"ANESTHESIA PX VEINS KNEE  and  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS OF LOWER LEG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01520","description":"ANESTHESIA PX VEINS OF LOWER LEG NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS OF LOWER LEG NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01520","description":"ANESTHESIA PX VEINS OF LOWER LEG NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01780","description":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01780","description":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01782","description":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01782","description":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RADICAL PERINEAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00904","description":"ANESTHESIA RADICAL PERINEAL PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RADICAL PERINEAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00904","description":"ANESTHESIA RADICAL PERINEAL PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RADICAL/MODIFIED RADICAL BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00404","description":"ANESTHESIA RADICAL/MODIFIED RADICAL BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RECONSTRUCTION BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00402","description":"ANESTHESIA RECONSTRUCTION BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00103","description":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00103","description":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA SALIVARY GLANDS WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00100","description":"ANESTHESIA SALIVARY GLANDS WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TENOPLASTY ELBOW TO SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01714","description":"ANESTHESIA TENOPLASTY ELBOW TO SHOULDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01932","description":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01932","description":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01924","description":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01924","description":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RADIOLOGICAL ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01924","description":"ANESTHESIA THER IVNTL RADIOLOGICAL ARTERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACIC SPINE  AND  CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00620","description":"ANESTHESIA THORACIC SPINE  AND  CORD NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":246.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":259.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00542","description":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00542","description":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00540","description":"ANESTHESIA THORACOTOMY PROCEDURES NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":295.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":310.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":321.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":337.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00540","description":"ANESTHESIA THORACOTOMY PROCEDURES NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":295.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":310.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":321.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":337.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00541","description":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00541","description":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":388.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":401.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00539","description":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":442.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":466.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":481.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":506.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00539","description":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":442.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":466.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":481.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":506.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00914","description":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00914","description":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00914","description":"ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER 2/3 FEMUR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01232","description":"ANESTHESIA UPPER 2/3 FEMUR AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00700","description":"ANESTHESIA UPPER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00732","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00732","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00731","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00731","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00730","description":"ANESTHESIA UPPER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01960","description":"ANESTHESIA VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":275.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":299.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":336.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":365.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01960","description":"ANESTHESIA VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":275.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":299.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":336.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":365.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL HYSTERECTOMY INCL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00944","description":"ANESTHESIA VAGINAL HYSTERECTOMY INCL BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00940","description":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00940","description":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00948","description":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00948","description":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CULDOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00950","description":"ANESTHESIA VAGINAL PX CULDOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CULDOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00950","description":"ANESTHESIA VAGINAL PX CULDOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00944","description":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00944","description":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01844","description":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01844","description":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":147.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":160.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS FOREARM WRIST  AND  HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01850","description":"ANESTHESIA VEINS FOREARM WRIST  AND  HAND NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS KNEE  AND  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01430","description":"ANESTHESIA VEINS KNEE  AND  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS OF LOWER LEG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01520","description":"ANESTHESIA VEINS OF LOWER LEG NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS SHOULDER  AND  AXILLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01670","description":"ANESTHESIA VEINS SHOULDER  AND  AXILLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS UPPER ARM  AND  ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01780","description":"ANESTHESIA VEINS UPPER ARM  AND  ELBOW NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":80.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS UPPER ARM  AND  ELBOW PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01782","description":"ANESTHESIA VEINS UPPER ARM  AND  ELBOW PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VULVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00906","description":"ANESTHESIA VULVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VULVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00906","description":"ANESTHESIA VULVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":112.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERUNIT","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75733","description":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75733","description":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75731","description":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75731","description":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75716","description":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75716","description":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75710","description":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75710","description":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75756","description":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75756","description":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75736","description":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75736","description":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75743","description":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75743","description":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75741","description":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75741","description":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75705","description":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75705","description":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75726","description":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75726","description":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35400","description":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35400","description":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOTENSIN I-CONVERTING ENZYME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82164","description":"ANGIOTENSIN I-CONVERTING ENZYME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOTENSIN II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82163","description":"ANGIOTENSIN II","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75898","description":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75898","description":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75746","description":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75746","description":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75774","description":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75774","description":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANIMAL INOCULATION SMALL ANIMAL W/OBS and DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87003","description":"ANIMAL INOCULATION SMALL ANIMAL W/OBS and DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2118","description":"ANISEIKONIC LENS SINGLE VISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2118","description":"ANISEIKONIC LENS SINGLE VISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2318","description":"ANISEIKONIC LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2318","description":"ANISEIKONIC LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2218","description":"ANISEIKONIC PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2218","description":"ANISEIKONIC PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27889","description":"ANKLE DISARTICULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27889","description":"ANKLE DISARTICULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99170","description":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99170","description":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46700","description":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46700","description":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46705","description":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46705","description":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANORECTAL MYOMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45108","description":"ANORECTAL MYOMECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANORECTAL MYOMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45108","description":"ANORECTAL MYOMECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46611","description":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46611","description":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46612","description":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46612","description":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46615","description":"ANOSCOPY ABLATION LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46615","description":"ANOSCOPY ABLATION LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46614","description":"ANOSCOPY CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46614","description":"ANOSCOPY CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46600","description":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46600","description":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46606","description":"ANOSCOPY W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46606","description":"ANOSCOPY W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46604","description":"ANOSCOPY W/DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46604","description":"ANOSCOPY W/DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46608","description":"ANOSCOPY W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46608","description":"ANOSCOPY W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46610","description":"ANOSCOPY W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46610","description":"ANOSCOPY W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91125","description":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91125","description":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45990","description":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45990","description":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92286","description":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92286","description":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/FLUOROSCEIN ANGIO  and  I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92287","description":"ANT SGM IMAGING W/FLUOROSCEIN ANGIO  and  I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92287","description":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92287","description":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92286","description":"ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51841","description":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51841","description":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51840","description":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51840","description":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86769","description":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86769","description":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74425","description":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74425","description":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2630","description":"ANTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2630","description":"ANTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57240","description":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57240","description":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22845","description":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22845","description":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22846","description":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22846","description":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22847","description":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22847","description":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR TIBIAL TUBERCLEPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27418","description":"ANTERIOR TIBIAL TUBERCLEPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR TIBIAL TUBERCLEPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27418","description":"ANTERIOR TIBIAL TUBERCLEPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.413,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INHIBITOR PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7198","description":"ANTI-INHIBITOR PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INHIBITOR PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7198","description":"ANTI-INHIBITOR PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-PHOSPHATIDYLSERINE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86148","description":"ANTI-PHOSPHATIDYLSERINE ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ACTINOMYCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86602","description":"ANTIBODY ACTINOMYCES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86603","description":"ANTIBODY ADENOVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86606","description":"ANTIBODY ASPERGILLUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86609","description":"ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BARTONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86611","description":"ANTIBODY BARTONELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BLASTOMYCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86612","description":"ANTIBODY BLASTOMYCES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORDETELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86615","description":"ANTIBODY BORDETELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86617","description":"ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA BURGDORFERI LYME DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86618","description":"ANTIBODY BORRELIA BURGDORFERI LYME DISEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA RELAPSING FEVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86619","description":"ANTIBODY BORRELIA RELAPSING FEVER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BRUCELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86622","description":"ANTIBODY BRUCELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CAMPYLOBACTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86625","description":"ANTIBODY CAMPYLOBACTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CANDIDA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86628","description":"ANTIBODY CANDIDA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CHLAMYDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86631","description":"ANTIBODY CHLAMYDIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CHLAMYDIA IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86632","description":"ANTIBODY CHLAMYDIA IGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY COCCIDIOIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86635","description":"ANTIBODY COCCIDIOIDES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY COXIELLA BURNETII Q FEVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86638","description":"ANTIBODY COXIELLA BURNETII Q FEVER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CRYPTOCOCCUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86641","description":"ANTIBODY CRYPTOCOCCUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CYTOMEGALOVIRUS CMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86644","description":"ANTIBODY CYTOMEGALOVIRUS CMV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CYTOMEGALOVIRUS CMV IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86645","description":"ANTIBODY CYTOMEGALOVIRUS CMV IGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY DIPHTHERIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86648","description":"ANTIBODY DIPHTHERIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EHRLICHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86666","description":"ANTIBODY EHRLICHIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ELUTION RBC EACH ELUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86860","description":"ANTIBODY ELUTION RBC EACH ELUTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86651","description":"ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS EASTERN EQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86652","description":"ANTIBODY ENCEPHALITIS EASTERN EQUINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS ST. LOUIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86653","description":"ANTIBODY ENCEPHALITIS ST. LOUIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS WESTRN EQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86654","description":"ANTIBODY ENCEPHALITIS WESTRN EQUINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENTEROVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86658","description":"ANTIBODY ENTEROVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86663","description":"ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86664","description":"ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86665","description":"ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY FRANCISELLA TULARENSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86668","description":"ANTIBODY FRANCISELLA TULARENSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86671","description":"ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY GIARDIA LAMBLIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86674","description":"ANTIBODY GIARDIA LAMBLIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HAEMOPHILUS INFLUENZA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86684","description":"ANTIBODY HAEMOPHILUS INFLUENZA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HELICOBACTER PYLORI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86677","description":"ANTIBODY HELICOBACTER PYLORI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86682","description":"ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HEP DELTA AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86692","description":"ANTIBODY HEP DELTA AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86694","description":"ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX TYPE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86695","description":"ANTIBODY HERPES SMPLX TYPE 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX TYPE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86696","description":"ANTIBODY HERPES SMPLX TYPE 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HISTOPLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86698","description":"ANTIBODY HISTOPLASMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86701","description":"ANTIBODY HIV-1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86703","description":"ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86702","description":"ANTIBODY HIV-2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I  AND  CLASS II ANTIGENS QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86828","description":"ANTIBODY HLA CLASS I  AND  CLASS II ANTIGENS QUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86832","description":"ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86829","description":"ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86830","description":"ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86834","description":"ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86833","description":"ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86831","description":"ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86835","description":"ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV-I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86687","description":"ANTIBODY HTLV-I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV-II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86688","description":"ANTIBODY HTLV-II","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86689","description":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86870","description":"ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86021","description":"ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION PLATELET ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86022","description":"ANTIBODY IDENTIFICATION PLATELET ANTIBODIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86023","description":"ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY INFLUENZA VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86710","description":"ANTIBODY INFLUENZA VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY JOHN CUNNINGHAM VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86711","description":"ANTIBODY JOHN CUNNINGHAM VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEGIONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86713","description":"ANTIBODY LEGIONELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEISHMANIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86717","description":"ANTIBODY LEISHMANIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEPTOSPIRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86720","description":"ANTIBODY LEPTOSPIRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LISTERIA MONOCYTOGENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86723","description":"ANTIBODY LISTERIA MONOCYTOGENES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86727","description":"ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MUCORMYCOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86732","description":"ANTIBODY MUCORMYCOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MUMPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86735","description":"ANTIBODY MUMPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MYCOPLSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86738","description":"ANTIBODY MYCOPLSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY NEISSERIA MENINGITIDIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86741","description":"ANTIBODY NEISSERIA MENINGITIDIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY NOCARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86744","description":"ANTIBODY NOCARDIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PARVOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86747","description":"ANTIBODY PARVOVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PLASMODIUM MALARIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86750","description":"ANTIBODY PLASMODIUM MALARIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PROTOZOA NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86753","description":"ANTIBODY PROTOZOA NES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86756","description":"ANTIBODY RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RICKETTSIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86757","description":"ANTIBODY RICKETTSIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86759","description":"ANTIBODY ROTAVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RUBELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86762","description":"ANTIBODY RUBELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RUBEOLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86765","description":"ANTIBODY RUBEOLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SALMONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86768","description":"ANTIBODY SALMONELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86850","description":"ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SHIGELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86771","description":"ANTIBODY SHIGELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TETANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86774","description":"ANTIBODY TETANUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TOXOPLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86777","description":"ANTIBODY TOXOPLASMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TOXOPLASMA IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86778","description":"ANTIBODY TOXOPLASMA IGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86780","description":"ANTIBODY TREPONEMA PALLIDUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TRICHINELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86784","description":"ANTIBODY TRICHINELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY VARICELLA-ZOSTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86787","description":"ANTIBODY VARICELLA-ZOSTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86790","description":"ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY WEST NILE VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86789","description":"ANTIBODY WEST NILE VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY WEST NILE VIRUS IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86788","description":"ANTIBODY WEST NILE VIRUS IGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY YERSINIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86793","description":"ANTIBODY YERSINIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80338","description":"ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80332","description":"ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80333","description":"ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80334","description":"ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80335","description":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80336","description":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80337","description":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80339","description":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80340","description":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80341","description":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86880","description":"ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86885","description":"ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86886","description":"ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86036","description":"ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86036","description":"ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86037","description":"ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86037","description":"ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINUCLEAR ANTIBODIES ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86038","description":"ANTINUCLEAR ANTIBODIES ANA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINUCLEAR ANTIBODIES ANA TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86039","description":"ANTINUCLEAR ANTIBODIES ANA TITER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80342","description":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80343","description":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80344","description":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISTREPTOLYSIN O SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86063","description":"ANTISTREPTOLYSIN O SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISTREPTOLYSIN O TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86060","description":"ANTISTREPTOLYSIN O TITER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTITHROMBIN III PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7197","description":"ANTITHROMBIN III PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTITHROMBIN III PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7197","description":"ANTITHROMBIN III PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81411","description":"AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81410","description":"AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33866","description":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33866","description":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33800","description":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33800","description":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75630","description":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75630","description":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75625","description":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75625","description":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75605","description":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75605","description":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75600","description":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75600","description":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOPLASTY SUPRAVALVULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33417","description":"AORTOPLASTY SUPRAVALVULAR STENOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1442.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AORTOPLASTY SUPRAVALVULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33417","description":"AORTOPLASTY SUPRAVALVULAR STENOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1442.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81203","description":"APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81201","description":"APC GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81202","description":"APC GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APLIGRAF PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4101","description":"APLIGRAF PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APLIGRAF PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4101","description":"APLIGRAF PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOLIPOPROTEIN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82172","description":"APOLIPOPROTEIN EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20696","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20696","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20697","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1373.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1567.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20697","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1373.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1567.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15274","description":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15274","description":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15271","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15271","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15272","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15272","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15273","description":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15273","description":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44955","description":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44955","description":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44960","description":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44960","description":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44950","description":"APPENDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20660","description":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20660","description":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO 6 OR GT  PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20664","description":"APPL HALO 6 OR GT  PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21100","description":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21100","description":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20664","description":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20664","description":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29325","description":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29325","description":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21110","description":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21110","description":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29581","description":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29581","description":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29581","description":"APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR COMPRES SYS UPARM LWARM HAND AND FING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29584","description":"APPL MLTLAYR COMPRES SYS UPARM LWARM HAND AND FING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97034","description":"APPL MODALITY 1 OR GT  AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97032","description":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97036","description":"APPL MODALITY 1 OR GT  AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97033","description":"APPL MODALITY 1 OR GT  AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97018","description":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97018","description":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97012","description":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97012","description":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97035","description":"APPL MODALITY 1 OR GT  AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ULTRAVIOLET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97028","description":"APPL MODALITY 1 OR GT  AREAS ULTRAVIOLET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ULTRAVIOLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97028","description":"APPL MODALITY 1 OR GT  AREAS ULTRAVIOLET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97016","description":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97016","description":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97034","description":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97034","description":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97032","description":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97032","description":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97036","description":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97036","description":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97033","description":"APPL MODALITY 1 Plus  AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97033","description":"APPL MODALITY 1 Plus  AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97035","description":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97035","description":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29584","description":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29584","description":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96377","description":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96377","description":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61800","description":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61800","description":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29040","description":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29040","description":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER HIPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29046","description":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29046","description":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29040","description":"APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29044","description":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29044","description":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER TO HIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER TO HIPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER TO HIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER TO HIPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29075","description":"APPLICATION CAST ELBOW FINGER SHORT ARM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29075","description":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29075","description":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-8","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-EIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-EIGHT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-EIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-EIGHT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29086","description":"APPLICATION CAST FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29086","description":"APPLICATION CAST FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29085","description":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29085","description":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST PLASTER VELPEAU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29058","description":"APPLICATION CAST PLASTER VELPEAU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST PLASTER VELPEAU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29058","description":"APPLICATION CAST PLASTER VELPEAU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29065","description":"APPLICATION CAST SHOULDER HAND LONG ARM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER SPICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29055","description":"APPLICATION CAST SHOULDER SPICA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER SPICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29055","description":"APPLICATION CAST SHOULDER SPICA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER TO HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29065","description":"APPLICATION CAST SHOULDER TO HAND LONG ARM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER TO HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29065","description":"APPLICATION CAST SHOULDER TO HAND LONG ARM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH TO ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH TO ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH TO ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH TO ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29131","description":"APPLICATION FINGER SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29131","description":"APPLICATION FINGER SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29130","description":"APPLICATION FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29130","description":"APPLICATION FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20661","description":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20661","description":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20663","description":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20663","description":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO PELVIC INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20662","description":"APPLICATION HALO PELVIC INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO PELVIC INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20662","description":"APPLICATION HALO PELVIC INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO TYPE BODY CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29000","description":"APPLICATION HALO TYPE BODY CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO TYPE BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29000","description":"APPLICATION HALO TYPE BODY CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HIP SPICA CAST 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29305","description":"APPLICATION HIP SPICA CAST 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HIP SPICA CAST 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29305","description":"APPLICATION HIP SPICA CAST 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER HAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST BRACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29358","description":"APPLICATION LONG LEG CAST BRACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST BRACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29358","description":"APPLICATION LONG LEG CAST BRACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST THIGH-TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29345","description":"APPLICATION LONG LEG CAST THIGH-TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST THIGH-TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29345","description":"APPLICATION LONG LEG CAST THIGH-TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29355","description":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29355","description":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97024","description":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97024","description":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS INFRARED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97026","description":"APPLICATION MODALITY 1 OR GT  AREAS INFRARED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS INFRARED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97026","description":"APPLICATION MODALITY 1 OR GT  AREAS INFRARED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20692","description":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1063.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20692","description":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1063.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION PATELLAR TENDON BEARING CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29435","description":"APPLICATION PATELLAR TENDON BEARING CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION PATELLAR TENDON BEARING CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29435","description":"APPLICATION PATELLAR TENDON BEARING CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33620","description":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33620","description":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGID TOTAL CONTACT LEG CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29445","description":"APPLICATION RIGID TOTAL CONTACT LEG CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGID TOTAL CONTACT LEG CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29445","description":"APPLICATION RIGID TOTAL CONTACT LEG CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29010","description":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29010","description":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29015","description":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29015","description":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29126","description":"APPLICATION SHORT ARM SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29126","description":"APPLICATION SHORT ARM SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29125","description":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29125","description":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29405","description":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29405","description":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29425","description":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29425","description":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20690","description":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20690","description":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86052","description":"AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86052","description":"AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY ELISA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86051","description":"AQUAPORIN-4 ANTIBODY ELISA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY ELISA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86051","description":"AQUAPORIN-4 ANTIBODY ELISA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86053","description":"AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86053","description":"AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66180","description":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66180","description":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66179","description":"AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66179","description":"AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7605","description":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7605","description":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27740","description":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27740","description":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL DISTAL FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27475","description":"ARREST EPIPHYSEAL DISTAL FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL DISTAL FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27475","description":"ARREST EPIPHYSEAL DISTAL FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27732","description":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27732","description":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27730","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27730","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27734","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27734","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27477","description":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27477","description":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27742","description":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27742","description":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27479","description":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27479","description":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27485","description":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27485","description":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT WOUND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT WOUND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36600","description":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36600","description":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36821","description":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36821","description":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33987","description":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33987","description":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22634","description":"ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22633","description":"ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1595.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1618.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1675.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22551","description":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1503.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1578.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1597.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22551","description":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1503.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1578.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1597.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22554","description":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1190.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22554","description":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1190.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22558","description":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1345.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1361.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1412.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1429.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22558","description":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1345.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1361.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1412.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1429.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22556","description":"ARTHRD ANT INTERBODY MIN DSC THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1475.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1508.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1549.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1584.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22556","description":"ARTHRD ANT INTERBODY MIN DSC THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1475.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1508.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1549.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1584.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22552","description":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22552","description":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22554","description":"ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1190.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22556","description":"ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1475.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1508.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1549.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1584.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22585","description":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22585","description":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22548","description":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1771.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1859.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22548","description":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1771.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1859.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26844","description":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26844","description":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26843","description":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26843","description":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26841","description":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26841","description":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26842","description":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26842","description":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25830","description":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25830","description":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27286","description":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1442.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1534.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27286","description":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1442.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1534.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28735","description":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28735","description":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28730","description":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28730","description":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22600","description":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1234.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22600","description":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1234.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27278","description":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27278","description":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PRQ W/PLMT IARTIC IMPLT WO TFXJ DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27278","description":"ARTHRD SI JT PRQ W/PLMT IARTIC IMPLT WO TFXJ DEV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28737","description":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28737","description":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28760","description":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28760","description":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20605","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20605","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20606","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20606","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20610","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20610","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20611","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20611","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20600","description":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20600","description":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20604","description":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20604","description":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANKLE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27870","description":"ARTHRODESIS ANKLE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANKLE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27870","description":"ARTHRODESIS ANKLE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22585","description":"ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR INTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22558","description":"ARTHRODESIS ANTERIOR INTERBODY LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1345.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1361.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1412.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1429.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1623.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1704.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1623.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1704.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1623.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1704.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1849.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1849.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1849.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 OR GT  VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 OR GT  VRT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1929.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1955.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2026.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2053.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1929.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1955.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2026.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2053.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1929.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1955.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2026.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2053.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22634","description":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22634","description":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22633","description":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1595.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1618.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1675.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22633","description":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1595.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1618.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1675.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24800","description":"ARTHRODESIS ELBOW JOINT LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24800","description":"ARTHRODESIS ELBOW JOINT LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24802","description":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24802","description":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23800","description":"ARTHRODESIS GLENOHUMERAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23800","description":"ARTHRODESIS GLENOHUMERAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23802","description":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23802","description":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28755","description":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28755","description":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28750","description":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28750","description":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27284","description":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1406.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1425.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1476.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1496.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27284","description":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1406.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1425.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1476.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1496.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26860","description":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26860","description":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26861","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26861","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26863","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26863","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26862","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26862","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS KNEE ANY TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27580","description":"ARTHRODESIS KNEE ANY TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1364.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1379.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS KNEE ANY TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27580","description":"ARTHRODESIS KNEE ANY TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1364.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1379.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22534","description":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22534","description":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22533","description":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1530.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22533","description":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1530.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22532","description":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1587.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1603.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1667.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1683.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22532","description":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1587.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1603.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1667.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1683.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26850","description":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26850","description":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28740","description":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28740","description":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26852","description":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26852","description":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PANTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28705","description":"ARTHRODESIS PANTALAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PANTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28705","description":"ARTHRODESIS PANTALAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22595","description":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1344.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1411.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22595","description":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1344.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1411.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22590","description":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1409.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1506.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22590","description":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1409.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1506.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1379.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1403.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1473.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1379.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1403.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1473.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1379.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1403.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1473.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 OR GT  VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 OR GT  VRT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2141.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2155.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2248.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2263.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2141.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2155.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2248.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2263.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2141.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2155.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2248.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2263.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1865.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1878.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1958.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1865.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1878.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1958.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1865.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1878.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1958.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22614","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22612","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1397.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1412.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1467.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22610","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22612","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1397.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1412.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1467.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22612","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1397.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1412.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1467.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22610","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22610","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5-S1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22586","description":"ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5-S1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1803.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1894.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1923.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PRESACRAL NTRBDY DSC W/INSTRMJ L5-S1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22586","description":"ARTHRODESIS PRESACRAL NTRBDY DSC W/INSTRMJ L5-S1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1803.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1894.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1923.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PRESACRAL NTRBDY DSC W/INSTRMJ L5-S1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22586","description":"ARTHRODESIS PRESACRAL NTRBDY DSC W/INSTRMJ L5-S1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1803.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1894.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1923.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22600","description":"ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1234.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22614","description":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22614","description":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27280","description":"ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1220.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1281.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27280","description":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1220.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1281.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27280","description":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1220.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1281.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28725","description":"ARTHRODESIS SUBTALAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28725","description":"ARTHRODESIS SUBTALAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27282","description":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27282","description":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27871","description":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27871","description":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TRIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28715","description":"ARTHRODESIS TRIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TRIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28715","description":"ARTHRODESIS TRIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25800","description":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25800","description":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25825","description":"ARTHRODESIS WRIST LIMITED W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25820","description":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25820","description":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25810","description":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25810","description":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25805","description":"ARTHRODESIS WRIST W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25805","description":"ARTHRODESIS WRIST W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST WITH AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25825","description":"ARTHRODESIS WRIST WITH AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST WITH AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25825","description":"ARTHRODESIS WRIST WITH AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27700","description":"ARTHROPLASTY ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27700","description":"ARTHROPLASTY ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27703","description":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27703","description":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27702","description":"ARTHROPLASTY ANKLE W/IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27702","description":"ARTHROPLASTY ANKLE W/IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24361","description":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24361","description":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24360","description":"ARTHROPLASTY ELBOW W/MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24360","description":"ARTHROPLASTY ELBOW W/MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27442","description":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27442","description":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23472","description":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1286.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1333.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23472","description":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1286.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1333.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23470","description":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23470","description":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26535","description":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26535","description":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26536","description":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26536","description":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY KNEE TIBIAL PLATEAU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27440","description":"ARTHROPLASTY KNEE TIBIAL PLATEAU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY KNEE TIBIAL PLATEAU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27440","description":"ARTHROPLASTY KNEE TIBIAL PLATEAU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26530","description":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26530","description":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/O PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27437","description":"ARTHROPLASTY PATELLA W/O PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/O PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27437","description":"ARTHROPLASTY PATELLA W/O PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27438","description":"ARTHROPLASTY PATELLA W/PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27438","description":"ARTHROPLASTY PATELLA W/PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24365","description":"ARTHROPLASTY RADIAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24365","description":"ARTHROPLASTY RADIAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24366","description":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24366","description":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21242","description":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21242","description":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25444","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25444","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25445","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25445","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25441","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25441","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25442","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25442","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25443","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25443","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29851","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29851","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29850","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29850","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29898","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29898","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29897","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29897","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29895","description":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29895","description":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29899","description":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29899","description":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29894","description":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29894","description":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29830","description":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29830","description":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29838","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29838","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29837","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29837","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29836","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29836","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29835","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29835","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29834","description":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29834","description":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29860","description":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29860","description":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29861","description":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29861","description":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29863","description":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29863","description":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29915","description":"ARTHROSCOPY HIP W/ACETABULOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29915","description":"ARTHROSCOPY HIP W/ACETABULOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/FEMOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29914","description":"ARTHROSCOPY HIP W/FEMOROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/FEMOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29914","description":"ARTHROSCOPY HIP W/FEMOROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29916","description":"ARTHROSCOPY HIP W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29916","description":"ARTHROSCOPY HIP W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29883","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29883","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29882","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29882","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29870","description":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29870","description":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE INFECTION LAVAGE  AND  DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29871","description":"ARTHROSCOPY KNEE INFECTION LAVAGE  AND  DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29873","description":"ARTHROSCOPY KNEE LATERAL RELEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29868","description":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1466.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1487.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1539.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1561.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29868","description":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1466.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1487.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1539.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1561.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29866","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29866","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29867","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29867","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29874","description":"ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29871","description":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29871","description":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29884","description":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29884","description":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29874","description":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29874","description":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29875","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29875","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29876","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29876","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29873","description":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29873","description":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SYNOVECTOMY 2 OR GT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29876","description":"ARTHROSCOPY KNEE SYNOVECTOMY 2 OR GT COMPARTMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29875","description":"ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29884","description":"ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29883","description":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29882","description":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29900","description":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29900","description":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29825","description":"ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29828","description":"ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29824","description":"ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29805","description":"ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29827","description":"ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29823","description":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29822","description":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29821","description":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29820","description":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29806","description":"ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29819","description":"ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29807","description":"ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29826","description":"ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29907","description":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29907","description":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29906","description":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29906","description":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29905","description":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29905","description":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29804","description":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29804","description":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29840","description":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29840","description":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29843","description":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29843","description":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29847","description":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29847","description":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29845","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29845","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29844","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29844","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27610","description":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27610","description":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26100","description":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26100","description":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26110","description":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26110","description":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26105","description":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26105","description":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25107","description":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25107","description":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24102","description":"ARTHROTOMY ELBOW W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24102","description":"ARTHROTOMY ELBOW W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24100","description":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24100","description":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23100","description":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23100","description":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23040","description":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23040","description":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27033","description":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27033","description":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27030","description":"ARTHROTOMY HIP W/DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27030","description":"ARTHROTOMY HIP W/DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27330","description":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27330","description":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21010","description":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21010","description":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27052","description":"ARTHROTOMY W/BIOPSY HIP JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27052","description":"ARTHROTOMY W/BIOPSY HIP JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27050","description":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27050","description":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/MENISCUS REPAIR KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27403","description":"ARTHROTOMY W/MENISCUS REPAIR KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/MENISCUS REPAIR KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27403","description":"ARTHROTOMY W/MENISCUS REPAIR KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27625","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27625","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27626","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27626","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27054","description":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27054","description":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27334","description":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27334","description":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25100","description":"ARTHROTOMY WRIST JOINT WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25100","description":"ARTHROTOMY WRIST JOINT WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25105","description":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25105","description":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27130","description":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27130","description":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24363","description":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1292.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1337.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24363","description":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1292.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1337.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24362","description":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24362","description":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27443","description":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27443","description":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25447","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25447","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25447","description":"ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27447","description":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27447","description":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27446","description":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27446","description":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27441","description":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27441","description":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26531","description":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26531","description":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21240","description":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21240","description":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21243","description":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1470.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1503.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1544.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21243","description":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1470.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1503.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1544.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/CARPUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/CARPUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25332","description":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25332","description":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29892","description":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29892","description":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29855","description":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29855","description":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29856","description":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29856","description":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29888","description":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29888","description":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29889","description":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29889","description":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29862","description":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29862","description":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29879","description":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29879","description":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29881","description":"ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29879","description":"ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29877","description":"ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29885","description":"ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29886","description":"ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29887","description":"ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29877","description":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29877","description":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29886","description":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29886","description":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29885","description":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29885","description":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29887","description":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29887","description":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29880","description":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29880","description":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29881","description":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29881","description":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE W/MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29880","description":"ARTHRS KNEE W/MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29901","description":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29901","description":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29902","description":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29902","description":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29904","description":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29904","description":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29800","description":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29800","description":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29846","description":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29846","description":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23044","description":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23044","description":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23101","description":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23101","description":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27620","description":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27620","description":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24006","description":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24006","description":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24000","description":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24000","description":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24101","description":"ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24101","description":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24101","description":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26070","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26070","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26080","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26080","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26075","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26075","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23107","description":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23107","description":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23106","description":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23106","description":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23105","description":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23105","description":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27310","description":"ARTHRT KNE W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27310","description":"ARTHRT KNE W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27331","description":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27331","description":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27612","description":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27612","description":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25040","description":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25040","description":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28050","description":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28050","description":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27333","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27333","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27332","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27332","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28024","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28024","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28022","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28022","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28020","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28020","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27335","description":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27335","description":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25101","description":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25101","description":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28054","description":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28054","description":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28052","description":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28052","description":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36640","description":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36640","description":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36625","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36625","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36620","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36620","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN F/ARM VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36820","description":"ARVEN ANAST OPN F/ARM VEIN TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN F/ARM VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36820","description":"ARVEN ANAST OPN F/ARM VEIN TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36819","description":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36819","description":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36818","description":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36818","description":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ IA EMBOLIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61710","description":"ARYSM VASC MALFRMJ IA EMBOLIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1919.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2015.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ IA EMBOLIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61710","description":"ARYSM VASC MALFRMJ IA EMBOLIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1919.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2015.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61705","description":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2324.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2440.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61705","description":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2324.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2440.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61708","description":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2274.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2388.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61708","description":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2274.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2388.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31400","description":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31400","description":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33863","description":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2704.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2839.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33863","description":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2704.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2839.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33858","description":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2919.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3065.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33858","description":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2919.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3065.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33859","description":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2096.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2201.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33859","description":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2096.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2201.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33864","description":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2764.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2902.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33864","description":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2764.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2902.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPA GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81200","description":"ASPA GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50390","description":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50390","description":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20615","description":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20615","description":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND/OR INJECTION THYROID CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60300","description":"ASPIRATION AND/OR INJECTION THYROID CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND/OR INJECTION THYROID CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60300","description":"ASPIRATION AND/OR INJECTION THYROID CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51102","description":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51102","description":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51100","description":"ASPIRATION BLADDER NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51100","description":"ASPIRATION BLADDER NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER TROCAR/INTRACATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51101","description":"ASPIRATION BLADDER TROCAR/INTRACATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER TROCAR/INTRACATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51101","description":"ASPIRATION BLADDER TROCAR/INTRACATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20612","description":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20612","description":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67015","description":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67015","description":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY NEUROFILAMENT LIGHT CHAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83884","description":"ASSAY NEUROFILAMENT LIGHT CHAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY NEUROFILAMENT LIGHT CHAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83884","description":"ASSAY NEUROFILAMENT LIGHT CHAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ACETYLCHOLINESTERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82013","description":"ASSAY OF ACETYLCHOLINESTERASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) BREATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82075","description":"ASSAY OF ALCOHOL (ETHANOL) BREATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82077","description":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82077","description":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL BREATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82075","description":"ASSAY OF ALCOHOL BREATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALDOLASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82085","description":"ASSAY OF ALDOLASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALDOSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82088","description":"ASSAY OF ALDOSTERONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALUMINUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82108","description":"ASSAY OF ALUMINUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMMONIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82140","description":"ASSAY OF AMMONIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMYLASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82150","description":"ASSAY OF AMYLASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ANTI-MULLERIAN HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82166","description":"ASSAY OF ANTI-MULLERIAN HORMONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ANTI-MULLERIAN HORMONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82166","description":"ASSAY OF ANTI-MULLERIAN HORMONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ARSENIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82175","description":"ASSAY OF ARSENIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ASCORBIC ACID BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82180","description":"ASSAY OF ASCORBIC ACID BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF B-HEXOSAMINIDASE EACH ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83080","description":"ASSAY OF B-HEXOSAMINIDASE EACH ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF BLOOD/URIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84550","description":"ASSAY OF BLOOD/URIC ACID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF C-PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84681","description":"ASSAY OF C-PEPTIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CALPROTECTIN FECAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83993","description":"ASSAY OF CALPROTECTIN FECAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CHROMIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82495","description":"ASSAY OF CHROMIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CITRATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82507","description":"ASSAY OF CITRATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF COPPER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82525","description":"ASSAY OF COPPER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CREATINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82540","description":"ASSAY OF CREATINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CRYOFIBRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82585","description":"ASSAY OF CRYOFIBRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CYANIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82600","description":"ASSAY OF CYANIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIBUCAINE NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82638","description":"ASSAY OF DIBUCAINE NUMBER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82681","description":"ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82681","description":"ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ERYTHROPOIETIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82668","description":"ASSAY OF ERYTHROPOIETIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82670","description":"ASSAY OF ESTRADIOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82677","description":"ASSAY OF ESTRIOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTROGENS FRACTIONATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82671","description":"ASSAY OF ESTROGENS FRACTIONATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTROGENS TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82672","description":"ASSAY OF ESTROGENS TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82679","description":"ASSAY OF ESTRONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETHYLENE GLYCOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82693","description":"ASSAY OF ETHYLENE GLYCOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETIOCHOLANOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82696","description":"ASSAY OF ETIOCHOLANOLONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FERRITIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82728","description":"ASSAY OF FERRITIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FLUORIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82735","description":"ASSAY OF FLUORIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FOLIC ACID RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82747","description":"ASSAY OF FOLIC ACID RBC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FOLIC ACID SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82746","description":"ASSAY OF FOLIC ACID SERUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FREE THYROXINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84439","description":"ASSAY OF FREE THYROXINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FREE THYROXINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84439","description":"ASSAY OF FREE THYROXINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FRUCTOSE SEMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82757","description":"ASSAY OF FRUCTOSE SEMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GALACTOKINASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82759","description":"ASSAY OF GALACTOKINASE RBC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GALACTOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82760","description":"ASSAY OF GALACTOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82784","description":"ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GAMMAGLOBULIN IGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82785","description":"ASSAY OF GAMMAGLOBULIN IGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GASTRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82941","description":"ASSAY OF GASTRIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUCAGON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82943","description":"ASSAY OF GLUCAGON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUCOSIDASE BETA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82963","description":"ASSAY OF GLUCOSIDASE BETA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMATE DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82965","description":"ASSAY OF GLUTAMATE DEHYDROGENASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMYLTRASE GAMMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82977","description":"ASSAY OF GLUTAMYLTRASE GAMMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTATHIONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82978","description":"ASSAY OF GLUTATHIONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTATHIONE REDUCTASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82979","description":"ASSAY OF GLUTATHIONE REDUCTASE RBC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLYCATED PROTEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82985","description":"ASSAY OF GLYCATED PROTEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GROWTH HORMONE HUMAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83003","description":"ASSAY OF GROWTH HORMONE HUMAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HAPTOGLOBIN PHENOTYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83012","description":"ASSAY OF HAPTOGLOBIN PHENOTYPES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HAPTOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83010","description":"ASSAY OF HAPTOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOGLOBIN PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83051","description":"ASSAY OF HEMOGLOBIN PLASMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOGLOBIN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83069","description":"ASSAY OF HEMOGLOBIN URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOSIDERIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83070","description":"ASSAY OF HEMOSIDERIN QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HISTAMINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83088","description":"ASSAY OF HISTAMINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HOMOCYSTEINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83090","description":"ASSAY OF HOMOCYSTEINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HOMOVANILLIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83150","description":"ASSAY OF HOMOVANILLIC ACID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYCORTICOSTEROIDS 17","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83491","description":"ASSAY OF HYDROXYCORTICOSTEROIDS 17","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83497","description":"ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROGESTERONE 17-D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83498","description":"ASSAY OF HYDROXYPROGESTERONE 17-D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROLINE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83500","description":"ASSAY OF HYDROXYPROLINE FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROLINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83505","description":"ASSAY OF HYDROXYPROLINE TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INSULIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83527","description":"ASSAY OF INSULIN FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INSULIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83525","description":"ASSAY OF INSULIN TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INTERLEUKIN-6 (IL-6)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83529","description":"ASSAY OF INTERLEUKIN-6 (IL-6)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INTERLEUKIN-6 (IL-6)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83529","description":"ASSAY OF INTERLEUKIN-6 (IL-6)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INTRINSIC FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83528","description":"ASSAY OF INTRINSIC FACTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF IRON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83540","description":"ASSAY OF IRON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF KETOGENIC STEROIDS FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83582","description":"ASSAY OF KETOGENIC STEROIDS FRACTIONATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF KETOSTEROIDS 17- TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83586","description":"ASSAY OF KETOSTEROIDS 17- TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF L7383TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84466","description":"ASSAY OF L7383TRANSFERRIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LACTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83605","description":"ASSAY OF LACTATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83655","description":"ASSAY OF LEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83655","description":"ASSAY OF LEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LIPASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83690","description":"ASSAY OF LIPASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MAGNESIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83735","description":"ASSAY OF MAGNESIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MAGNESIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83735","description":"ASSAY OF MAGNESIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MALATE DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83775","description":"ASSAY OF MALATE DEHYDROGENASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MANGANESE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83785","description":"ASSAY OF MANGANESE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MERCURY QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83825","description":"ASSAY OF MERCURY QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NEPHELOMETRY EACH ANALYTE NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83883","description":"ASSAY OF NEPHELOMETRY EACH ANALYTE NES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NICKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83885","description":"ASSAY OF NICKEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NUCLEOTIDASE 5'-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83915","description":"ASSAY OF NUCLEOTIDASE 5'-","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSMOLALITY BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83930","description":"ASSAY OF OSMOLALITY BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSMOLALITY URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83935","description":"ASSAY OF OSMOLALITY URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSTEOCALCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83937","description":"ASSAY OF OSTEOCALCIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OXALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83945","description":"ASSAY OF OXALATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PARATHORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83970","description":"ASSAY OF PARATHORMONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENCYCLIDINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83992","description":"ASSAY OF PHENCYCLIDINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENYLALANINE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84030","description":"ASSAY OF PHENYLALANINE BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENYLKETONES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84035","description":"ASSAY OF PHENYLKETONES QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ACID PROSTATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84066","description":"ASSAY OF PHOSPHATASE ACID PROSTATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ACID TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84060","description":"ASSAY OF PHOSPHATASE ACID TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84075","description":"ASSAY OF PHOSPHATASE ALKALINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84078","description":"ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84080","description":"ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHOHEXOSE ISOMERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84087","description":"ASSAY OF PHOSPHOHEXOSE ISOMERASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHORUS INORGANIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84100","description":"ASSAY OF PHOSPHORUS INORGANIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHORUS INORGANIC URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84105","description":"ASSAY OF PHOSPHORUS INORGANIC URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84110","description":"ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84144","description":"ASSAY OF PROGESTERONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROINSULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84206","description":"ASSAY OF PROINSULIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROLACTIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84146","description":"ASSAY OF PROLACTIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTAGLNDIN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84150","description":"ASSAY OF PROSTAGLNDIN EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84152","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84154","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84153","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRIDOXAL PHOSPHATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84207","description":"ASSAY OF PYRIDOXAL PHOSPHATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRUVATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84210","description":"ASSAY OF PYRUVATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRUVATE KINASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84220","description":"ASSAY OF PYRUVATE KINASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF QUININE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84228","description":"ASSAY OF QUININE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RECEPTOR ASSAY ESTROGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84233","description":"ASSAY OF RECEPTOR ASSAY ESTROGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RECEPTOR ASSAY PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84234","description":"ASSAY OF RECEPTOR ASSAY PROGESTERONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RENIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84244","description":"ASSAY OF RENIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RIBOFLAVIN-VITAMIN B-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84252","description":"ASSAY OF RIBOFLAVIN-VITAMIN B-2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SELENIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84255","description":"ASSAY OF SELENIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SEROTONIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84260","description":"ASSAY OF SEROTONIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SEX HORMONE BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84270","description":"ASSAY OF SEX HORMONE BINDING GLOBULIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SIALIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84275","description":"ASSAY OF SIALIC ACID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SILICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84285","description":"ASSAY OF SILICA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SODIUM OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84302","description":"ASSAY OF SODIUM OTHER SOURCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SOMATOMEDIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84305","description":"ASSAY OF SOMATOMEDIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SOMATOSTATIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84307","description":"ASSAY OF SOMATOSTATIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SULFATE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84392","description":"ASSAY OF SULFATE URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TESTOSTERONE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84402","description":"ASSAY OF TESTOSTERONE FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TESTOSTERONE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84403","description":"ASSAY OF TESTOSTERONE TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THIAMINE-VITAMIN B-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84425","description":"ASSAY OF THIAMINE-VITAMIN B-1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THIOCYANATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84430","description":"ASSAY OF THIOCYANATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84432","description":"ASSAY OF THYROGLOBULIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROID STIMULATING HORMONE TSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84443","description":"ASSAY OF THYROID STIMULATING HORMONE TSH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROID STIMULATING HORMONE TSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84443","description":"ASSAY OF THYROID STIMULATING HORMONE TSH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84442","description":"ASSAY OF THYROXINE BINDING GLOBULIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE REQUIRING ELUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84437","description":"ASSAY OF THYROXINE REQUIRING ELUTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE REQUIRING ELUTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84437","description":"ASSAY OF THYROXINE REQUIRING ELUTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84436","description":"ASSAY OF THYROXINE TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84436","description":"ASSAY OF THYROXINE TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOCOPHEROL ALPHA VITAMIN E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84446","description":"ASSAY OF TOCOPHEROL ALPHA VITAMIN E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOTAL ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82670","description":"ASSAY OF TOTAL ESTRADIOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOTAL HYDROXYPROLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83505","description":"ASSAY OF TOTAL HYDROXYPROLINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84449","description":"ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84466","description":"ASSAY OF TRANSFERRIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIGLYCERIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84478","description":"ASSAY OF TRIGLYCERIDES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIIODOTHYRONINE T3 FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84481","description":"ASSAY OF TRIIODOTHYRONINE T3 FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84480","description":"ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TROPONIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84512","description":"ASSAY OF TROPONIN QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TROPONIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84484","description":"ASSAY OF TROPONIN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRYPSIN DUODENAL FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84485","description":"ASSAY OF TRYPSIN DUODENAL FLUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRYPSIN FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84488","description":"ASSAY OF TRYPSIN FECES QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TYROSINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84510","description":"ASSAY OF TYROSINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84520","description":"ASSAY OF UREA NITROGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84525","description":"ASSAY OF UREA NITROGEN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84540","description":"ASSAY OF UREA NITROGEN URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URIC ACID OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84560","description":"ASSAY OF URIC ACID OTHER SOURCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URINE SODIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84300","description":"ASSAY OF URINE SODIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84577","description":"ASSAY OF UROBILINOGEN FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84578","description":"ASSAY OF UROBILINOGEN URINE QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84583","description":"ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VANILLYLMANDELIC ACID URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84585","description":"ASSAY OF VANILLYLMANDELIC ACID URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VASOACTIVE INTESTINAL PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84586","description":"ASSAY OF VASOACTIVE INTESTINAL PEPTIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84588","description":"ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84590","description":"ASSAY OF VITAMIN A","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN K","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84597","description":"ASSAY OF VITAMIN K","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84591","description":"ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VOLATILES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84600","description":"ASSAY OF VOLATILES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ZINC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84630","description":"ASSAY OF ZINC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY THIOPURINE S-METHYLTRANSFERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84433","description":"ASSAY THIOPURINE S-METHYLTRANSFERASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY THIOPURINE S-METHYLTRANSFERASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84433","description":"ASSAY THIOPURINE S-METHYLTRANSFERASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT APHASIA W/INTERP  and  REPORT PER HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96105","description":"ASSESSMENT APHASIA W/INTERP  and  REPORT PER HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT APHASIA W/INTERP  and  REPORT PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96105","description":"ASSESSMENT APHASIA W/INTERP  and  REPORT PER HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT FOR HEARING AID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5010","description":"ASSESSMENT FOR HEARING AID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT TINNITUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92625","description":"ASSESSMENT TINNITUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT TINNITUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92625","description":"ASSESSMENT TINNITUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97169","description":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97169","description":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81177","description":"ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81177","description":"ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82190","description":"ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP02","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP02","description":"ATP02","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP03","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP03","description":"ATP03","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP04","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP04","description":"ATP04","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP05","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP05","description":"ATP05","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP06","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP06","description":"ATP06","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP07","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP07","description":"ATP07","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP08","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP08","description":"ATP08","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP09","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP09","description":"ATP09","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP10","description":"ATP10","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP11","description":"ATP11","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP12","description":"ATP12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP13","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP13","description":"ATP13","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP14","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP14","description":"ATP14","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP15","description":"ATP15","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP16","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP16","description":"ATP16","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP17","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP17","description":"ATP17","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP18","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP18","description":"ATP18","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP19","description":"ATP19","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP20","description":"ATP20","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP21","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP21","description":"ATP21","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATP22","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP22","description":"ATP22","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33257","description":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33257","description":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33259","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33259","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33258","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33258","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33735","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33735","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33736","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1218.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1279.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33736","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1218.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1279.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99464","description":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99464","description":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81178","description":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81178","description":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81179","description":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81179","description":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81180","description":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81180","description":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81181","description":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81181","description":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92633","description":"AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92633","description":"AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY REHABILITATION PRELINGUAL HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92630","description":"AUDITORY REHABILITATION PRELINGUAL HEARING LOSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY REHABILITATION PRELINGUAL HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92630","description":"AUDITORY REHABILITATION PRELINGUAL HEARING LOSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20938","description":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20938","description":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20937","description":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20937","description":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27412","description":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1447.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1469.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1520.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27412","description":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1447.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1469.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1520.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11732","description":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11732","description":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11730","description":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11730","description":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38745","description":"AXILLARY LYMPHADENECTOMY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38745","description":"AXILLARY LYMPHADENECTOMY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38740","description":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38740","description":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT OR AXOLOTL DUALGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4210","description":"AXOLOTL GRAFT OR AXOLOTL DUALGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE PARENTERAL100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7501","description":"AZATHIOPRINE PARENTERAL100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE PARENTERAL100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7501","description":"AZATHIOPRINE PARENTERAL100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Acne surgery","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"Acne surgery","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Androstanediol glucuronide","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82154","description":"Androstanediol glucuronide","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44950","description":"Appendectomy","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44950","description":"Appendectomy","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Assessment for hearing aid","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5010","description":"Assessment for hearing aid","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Assessment for hearing aid","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5010","description":"Assessment for hearing aid","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Auto Test Panel Pricing Code, 22 PLUS  Tests","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"ATP23","description":"Auto Test Panel Pricing Code, 22 PLUS  Tests","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86355","description":"B CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27170","description":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27170","description":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90585","description":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90585","description":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90586","description":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90586","description":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65757","description":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65757","description":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BALANCE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2700","description":"BALANCE LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALANCE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2700","description":"BALANCE LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47542","description":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47542","description":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50706","description":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50706","description":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BANDING PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33690","description":"BANDING PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BANDING PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33690","description":"BANDING PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BARRERA SL OR BARRERA DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4281","description":"BARRERA SL OR BARRERA DL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARRERA SL OR BARRERA DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4281","description":"BARRERA SL OR BARRERA DL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80047","description":"BASIC METABOLIC PANEL CALCIUM IONIZED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80047","description":"BASIC METABOLIC PANEL CALCIUM IONIZED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80048","description":"BASIC METABOLIC PANEL CALCIUM TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80048","description":"BASIC METABOLIC PANEL CALCIUM TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC RADIATION DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77300","description":"BASIC RADIATION DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC RADIATION DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77300","description":"BASIC RADIATION DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9030","description":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9030","description":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKDHB GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81205","description":"BCKDHB GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81206","description":"BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81207","description":"BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81208","description":"BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97151","description":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97151","description":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92524","description":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92524","description":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL VERIFICATION OF AMPLIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92638","description":"BEHAVIORAL VERIFICATION OF AMPLIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL VERIFICATION OF AMPLIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92638","description":"BEHAVIORAL VERIFICATION OF AMPLIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3401","description":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3401","description":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA 2 GLYCOPROTEIN I ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86146","description":"BETA 2 GLYCOPROTEIN I ANTIBODY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-2 MICROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82232","description":"BETA-2 MICROGLOBULIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-AMYLOID 1-40 (ABETA 40)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82233","description":"BETA-AMYLOID 1-40 (ABETA 40)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-AMYLOID 1-40 (ABETA 40)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82233","description":"BETA-AMYLOID 1-40 (ABETA 40)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-AMYLOID 1-42 (ABETA 42)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82234","description":"BETA-AMYLOID 1-42 (ABETA 42)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-AMYLOID 1-42 (ABETA 42)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82234","description":"BETA-AMYLOID 1-42 (ABETA 42)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BFB TRAING W/EMG  and /MANOMETRY 1ST 15 MIN CNTCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90912","description":"BFB TRAING W/EMG  and /MANOMETRY 1ST 15 MIN CNTCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BFB TRAING W/EMG  and /MANOMETRY 1ST 15 MIN CNTCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90912","description":"BFB TRAING W/EMG  and /MANOMETRY 1ST 15 MIN CNTCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BFB TRAING W/EMG and /MANOMETRY EA ADDL 15 MIN CNTCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90913","description":"BFB TRAING W/EMG and /MANOMETRY EA ADDL 15 MIN CNTCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BFB TRAING W/EMG and /MANOMETRY EA ADDL 15 MIN CNTCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90913","description":"BFB TRAING W/EMG and /MANOMETRY EA ADDL 15 MIN CNTCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61586","description":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2257.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2370.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61586","description":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2257.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2370.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2220","description":"BIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2220","description":"BIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SEG WIDTH OVER 28MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2219","description":"BIFOCAL SEG WIDTH OVER 28MM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SEG WIDTH OVER 28MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2219","description":"BIFOCAL SEG WIDTH OVER 28MM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2214","description":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2214","description":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2207","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2207","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2208","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2208","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2209","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2209","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2210","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2210","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2211","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2211","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2212","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2212","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2213","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2213","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2203","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2203","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2204","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2204","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2205","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2205","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2206","description":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2206","description":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILE ACIDS CHOLYLGLYCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82240","description":"BILE ACIDS CHOLYLGLYCINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILE ACIDS TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82239","description":"BILE ACIDS TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47552","description":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47552","description":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47554","description":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47554","description":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47550","description":"BILIARY NDSC INTRAOPERATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47550","description":"BILIARY NDSC INTRAOPERATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47556","description":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47556","description":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47553","description":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47553","description":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47555","description":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47555","description":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82248","description":"BILIRUBIN DIRECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82252","description":"BILIRUBIN FECES QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82247","description":"BILIRUBIN TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88720","description":"BILIRUBIN TOTAL TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5140","description":"BINAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5140","description":"BINAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5120","description":"BINAURAL BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5120","description":"BINAURAL BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5150","description":"BINAURAL GLASSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5150","description":"BINAURAL GLASSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5130","description":"BINAURAL IN THE EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5130","description":"BINAURAL IN THE EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92504","description":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92504","description":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOFEEDBACK TRAINING ANY MODALITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90901","description":"BIOFEEDBACK TRAINING ANY MODALITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOFEEDBACK TRAINING ANY MODALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90901","description":"BIOFEEDBACK TRAINING ANY MODALITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93701","description":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93701","description":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93701","description":"BIOMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20245","description":"BIOPSY BONE OPEN DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20245","description":"BIOPSY BONE OPEN DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20240","description":"BIOPSY BONE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20240","description":"BIOPSY BONE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20225","description":"BIOPSY BONE TROCAR/NEEDLE DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20225","description":"BIOPSY BONE TROCAR/NEEDLE DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20220","description":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20220","description":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BREAST OPEN INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19101","description":"BIOPSY BREAST OPEN INCISIONAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BREAST OPEN INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19101","description":"BIOPSY BREAST OPEN INCISIONAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57500","description":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57500","description":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68100","description":"BIOPSY CONJUNCTIVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68100","description":"BIOPSY CONJUNCTIVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CORNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65410","description":"BIOPSY CORNEA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CORNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65410","description":"BIOPSY CORNEA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EPIDIDYMIS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54800","description":"BIOPSY EPIDIDYMIS NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EPIDIDYMIS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54800","description":"BIOPSY EPIDIDYMIS NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69105","description":"BIOPSY EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69105","description":"BIOPSY EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69100","description":"BIOPSY EXTERNAL EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69100","description":"BIOPSY EXTERNAL EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67346","description":"BIOPSY EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67346","description":"BIOPSY EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41108","description":"BIOPSY FLOOR MOUTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41108","description":"BIOPSY FLOOR MOUTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30100","description":"BIOPSY INTRANASAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30100","description":"BIOPSY INTRANASAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68510","description":"BIOPSY LACRIMAL GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68510","description":"BIOPSY LACRIMAL GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68525","description":"BIOPSY LACRIMAL SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68525","description":"BIOPSY LACRIMAL SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER NEEDLE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47000","description":"BIOPSY LIVER NEEDLE PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER NEEDLE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47000","description":"BIOPSY LIVER NEEDLE PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47100","description":"BIOPSY LIVER WEDGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47100","description":"BIOPSY LIVER WEDGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20205","description":"BIOPSY MUSCLE DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20205","description":"BIOPSY MUSCLE DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20206","description":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20206","description":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20200","description":"BIOPSY MUSCLE SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20200","description":"BIOPSY MUSCLE SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11755","description":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11755","description":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42804","description":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42804","description":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64795","description":"BIOPSY NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64795","description":"BIOPSY NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OF LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40490","description":"BIOPSY OF LIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OROPHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42800","description":"BIOPSY OROPHARYNX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OROPHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42800","description":"BIOPSY OROPHARYNX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58900","description":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58900","description":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42100","description":"BIOPSY PALATE UVULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42100","description":"BIOPSY PALATE UVULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48102","description":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48102","description":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48100","description":"BIOPSY PANCREAS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48100","description":"BIOPSY PANCREAS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PENIS DEEP STRUCTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54105","description":"BIOPSY PENIS DEEP STRUCTURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PENIS DEEP STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54105","description":"BIOPSY PENIS DEEP STRUCTURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PENIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54100","description":"BIOPSY PENIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PENIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54100","description":"BIOPSY PENIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32400","description":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32400","description":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55705","description":"BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55705","description":"BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE INCISIONAL ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55705","description":"BIOPSY PROSTATE INCISIONAL ANY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55707","description":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55707","description":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42405","description":"BIOPSY SALIVARY GLAND INCISIONAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42405","description":"BIOPSY SALIVARY GLAND INCISIONAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42400","description":"BIOPSY SALIVARY GLAND NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42400","description":"BIOPSY SALIVARY GLAND NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21925","description":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21925","description":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21920","description":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21920","description":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25066","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25066","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25065","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25065","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27614","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27614","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27613","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27613","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21550","description":"BIOPSY SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21550","description":"BIOPSY SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27040","description":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27040","description":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27041","description":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27041","description":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23066","description":"BIOPSY SOFT TISSUE SHOULDER DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23066","description":"BIOPSY SOFT TISSUE SHOULDER DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23065","description":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23065","description":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27324","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27324","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27323","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27323","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24066","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24066","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24065","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24065","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62269","description":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62269","description":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY STOMACH LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43605","description":"BIOPSY STOMACH LAPAROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY STOMACH LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43605","description":"BIOPSY STOMACH LAPAROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54505","description":"BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54505","description":"BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54500","description":"BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54500","description":"BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60100","description":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60100","description":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41100","description":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41100","description":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41105","description":"BIOPSY TONGUE POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41105","description":"BIOPSY TONGUE POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53200","description":"BIOPSY URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53200","description":"BIOPSY URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57105","description":"BIOPSY VAGINAL MUCOSA EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57105","description":"BIOPSY VAGINAL MUCOSA EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57100","description":"BIOPSY VAGINAL MUCOSA SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57100","description":"BIOPSY VAGINAL MUCOSA SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20251","description":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20251","description":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20250","description":"BIOPSY VERTEBRAL BODY OPEN THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20250","description":"BIOPSY VERTEBRAL BODY OPEN THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40808","description":"BIOPSY VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40808","description":"BIOPSY VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM 1 LESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56605","description":"BIOPSY VULVA/PERINEUM 1 LESION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM 1 LESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56605","description":"BIOPSY VULVA/PERINEUM 1 LESION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56606","description":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56606","description":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOTINIDASE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82261","description":"BIOTINIDASE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4283","description":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4283","description":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47143","description":"BKBENCH PREP CADAVER DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47143","description":"BKBENCH PREP CADAVER DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44715","description":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44715","description":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33944","description":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33944","description":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33933","description":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33933","description":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32856","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32856","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32855","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32855","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48551","description":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48551","description":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50323","description":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50323","description":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47145","description":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47145","description":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47144","description":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47144","description":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50325","description":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50325","description":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50329","description":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50329","description":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48552","description":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48552","description":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44721","description":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44721","description":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44720","description":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44720","description":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47147","description":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47147","description":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47146","description":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47146","description":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50327","description":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50327","description":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50328","description":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50328","description":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51720","description":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51720","description":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER PRESSURE MEASUREMENT DURING FILLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51726","description":"BLADDER PRESSURE MEASUREMENT DURING FILLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER PRESSURE MEASUREMENT DURING FILLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51726","description":"BLADDER PRESSURE MEASUREMENT DURING FILLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86079","description":"BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS DIFFC CROSS MATCH and /EVAL REP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86077","description":"BLD BANK PHYS SVCS DIFFC CROSS MATCH and /EVAL REP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86078","description":"BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85008","description":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85008","description":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38206","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38206","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51700","description":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51700","description":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEEDING TIME TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85002","description":"BLEEDING TIME TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15820","description":"BLEPHAROPLASTY LOWER EYELID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15820","description":"BLEPHAROPLASTY LOWER EYELID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15821","description":"BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15821","description":"BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15821","description":"BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15822","description":"BLEPHAROPLASTY UPPER EYELID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15822","description":"BLEPHAROPLASTY UPPER EYELID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15823","description":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15823","description":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67700","description":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67700","description":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLM GENE ANALYSIS 2281DEL6INS7 VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81209","description":"BLM GENE ANALYSIS 2281DEL6INS7 VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD CLOT RETRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85170","description":"BLOOD CLOT RETRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85004","description":"BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85025","description":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85025","description":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85027","description":"BLOOD COUNT COMPLETE AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85027","description":"BLOOD COUNT COMPLETE AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85014","description":"BLOOD COUNT HEMATOCRIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85014","description":"BLOOD COUNT HEMATOCRIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85018","description":"BLOOD COUNT HEMOGLOBIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85018","description":"BLOOD COUNT HEMOGLOBIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT LEUKOCYTE WBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85048","description":"BLOOD COUNT LEUKOCYTE WBC AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL CELL COUNT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85032","description":"BLOOD COUNT MANUAL CELL COUNT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL CELL COUNT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85032","description":"BLOOD COUNT MANUAL CELL COUNT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85009","description":"BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT PLATELET AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85049","description":"BLOOD COUNT PLATELET AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT PLATELET AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85049","description":"BLOOD COUNT PLATELET AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RED BLOOD CELL AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85041","description":"BLOOD COUNT RED BLOOD CELL AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85044","description":"BLOOD COUNT RETICULOCYTE AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85045","description":"BLOOD COUNT RETICULOCYTE AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85044","description":"BLOOD COUNT RETICULOCYTE MANUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTES AUTO 1 OR GT  CELL MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85046","description":"BLOOD COUNT RETICULOCYTES AUTO 1 OR GT  CELL MEAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85007","description":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85007","description":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SPUN MICROHEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85013","description":"BLOOD COUNT SPUN MICROHEMATOCRIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36450","description":"BLOOD EXCHANGE TRANSFUSION NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36450","description":"BLOOD EXCHANGE TRANSFUSION NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36455","description":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36455","description":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD FOR TRANSFUSION PER UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9010","description":"BLOOD FOR TRANSFUSION PER UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD FOR TRANSFUSION PER UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9010","description":"BLOOD FOR TRANSFUSION PER UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82803","description":"BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82274","description":"BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82270","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82270","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82272","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82272","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82271","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82271","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85060","description":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85060","description":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SPLIT UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9011","description":"BLOOD SPLIT UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SPLIT UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9011","description":"BLOOD SPLIT UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86902","description":"BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86904","description":"BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86905","description":"BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC ABO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86900","description":"BLOOD TYPING SEROLOGIC ABO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC RH (D)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86901","description":"BLOOD TYPING SEROLOGIC RH (D)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86906","description":"BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLS ROUTINE DISPOSABLE SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0382","description":"BLS ROUTINE DISPOSABLE SUPPLIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING 3 PHASE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78315","description":"BONE  and /JOINT IMAGING 3 PHASE STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING 3 PHASE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78315","description":"BONE  and /JOINT IMAGING 3 PHASE STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78300","description":"BONE  and /JOINT IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78300","description":"BONE  and /JOINT IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78305","description":"BONE  and /JOINT IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78305","description":"BONE  and /JOINT IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78306","description":"BONE  and /JOINT IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78306","description":"BONE  and /JOINT IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE AGE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77072","description":"BONE AGE STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE AGE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77072","description":"BONE AGE STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78350","description":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78350","description":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20902","description":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20902","description":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20900","description":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20900","description":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20956","description":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2312.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2340.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2427.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2457.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20956","description":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2312.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2340.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2427.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2457.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20957","description":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2407.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2437.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2528.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2559.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20957","description":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2407.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2437.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2528.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2559.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20955","description":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2155.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2157.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2263.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2265.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20955","description":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2155.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2157.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2263.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2265.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20962","description":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2338.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2376.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2455.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2494.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20962","description":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2338.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2376.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2455.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2494.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE LENGTH STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77073","description":"BONE LENGTH STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE LENGTH STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77073","description":"BONE LENGTH STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20939","description":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20939","description":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77084","description":"BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38230","description":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38230","description":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38232","description":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38232","description":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78102","description":"BONE MARROW IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78102","description":"BONE MARROW IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78103","description":"BONE MARROW IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78103","description":"BONE MARROW IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78104","description":"BONE MARROW IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78104","description":"BONE MARROW IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW SMEAR INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85097","description":"BONE MARROW SMEAR INTERPRETATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"BOTULINUM TOXIN TYPE A PER UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0585","description":"BOTULINUM TOXIN TYPE A PER UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBI-ILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35638","description":"BPG OTH/THN VEIN AORTOBI-ILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1488.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1562.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBI-ILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35638","description":"BPG OTH/THN VEIN AORTOBI-ILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1488.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1562.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35646","description":"BPG OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35646","description":"BPG OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35631","description":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1584.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35631","description":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1584.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35647","description":"BPG OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1330.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1397.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35647","description":"BPG OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1330.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1397.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35637","description":"BPG OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35637","description":"BPG OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35626","description":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1437.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35626","description":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1437.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35650","description":"BPG OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35650","description":"BPG OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35621","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35621","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35654","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35654","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35623","description":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35623","description":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35602","description":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1017.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35602","description":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1017.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35606","description":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1007.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35606","description":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1007.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35642","description":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35642","description":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35601","description":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1263.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35601","description":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1263.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35666","description":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35666","description":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35661","description":"BPG OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35661","description":"BPG OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35656","description":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35656","description":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35665","description":"BPG OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35665","description":"BPG OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35663","description":"BPG OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35663","description":"BPG OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35671","description":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35671","description":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35636","description":"BPG OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35636","description":"BPG OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35616","description":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35616","description":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35612","description":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35612","description":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35645","description":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35645","description":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77318","description":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77318","description":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77317","description":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77317","description":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77316","description":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77316","description":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRADYKININ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82286","description":"BRADYKININ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAF GENE ANALYSIS V600 VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81210","description":"BRAF GENE ANALYSIS V600 VARIANT(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78600","description":"BRAIN IMAGING  LT 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78600","description":"BRAIN IMAGING  LT 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78601","description":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78601","description":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78606","description":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78606","description":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78605","description":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78605","description":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET METABOLIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78608","description":"BRAIN IMAGING PET METABOLIC EVALUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1290.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET METABOLIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78608","description":"BRAIN IMAGING PET METABOLIC EVALUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1290.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING VASCULAR FLOW ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78610","description":"BRAIN IMAGING VASCULAR FLOW ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING VASCULAR FLOW ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78610","description":"BRAIN IMAGING VASCULAR FLOW ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81212","description":"BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81162","description":"BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81164","description":"BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81164","description":"BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81163","description":"BRCA1 BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81163","description":"BRCA1 BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81166","description":"BRCA1 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81166","description":"BRCA1 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81165","description":"BRCA1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81165","description":"BRCA1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81215","description":"BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81167","description":"BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81167","description":"BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81216","description":"BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81217","description":"BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST AUGMENTATION WITH IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19325","description":"BREAST AUGMENTATION WITH IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST AUGMENTATION WITH IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19325","description":"BREAST AUGMENTATION WITH IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECON DIEP/SIEA FLAP  and  CLOS DONR SITE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2068","description":"BREAST RECON DIEP/SIEA FLAP  and  CLOS DONR SITE UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18355.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2936.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECON DIEP/SIEA FLAP  and  CLOS DONR SITE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2068","description":"BREAST RECON DIEP/SIEA FLAP  and  CLOS DONR SITE UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18355.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2936.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19368","description":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1905.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19368","description":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1905.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19369","description":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1770.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1859.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19369","description":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1770.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1859.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION FREE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19364","description":"BREAST RECONSTRUCTION FREE FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2388.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2507.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19367","description":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1636.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19367","description":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1636.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19368","description":"BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1905.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19367","description":"BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1636.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19369","description":"BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1770.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1859.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/FREE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19364","description":"BREAST RECONSTRUCTION W/FREE FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2388.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2507.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/FREE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19364","description":"BREAST RECONSTRUCTION W/FREE FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2388.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2507.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19361","description":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19361","description":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19318","description":"BREAST REDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREAST REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19318","description":"BREAST REDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BREATH HYDROGEN/METHANE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91065","description":"BREATH HYDROGEN/METHANE TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATH HYDROGEN/METHANE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91065","description":"BREATH HYDROGEN/METHANE TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING RESPONSE TO HYPOXIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94450","description":"BREATHING RESPONSE TO HYPOXIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING RESPONSE TO HYPOXIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94450","description":"BREATHING RESPONSE TO HYPOXIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2053","description":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536856.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538692.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2053","description":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536856.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538692.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94060","description":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94060","description":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31623","description":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31623","description":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31652","description":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31652","description":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31653","description":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31653","description":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31622","description":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31622","description":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31651","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31651","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31647","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31647","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31649","description":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31649","description":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31648","description":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31648","description":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31638","description":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31638","description":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31624","description":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31624","description":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31641","description":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31641","description":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31636","description":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31636","description":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31643","description":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31643","description":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31630","description":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31630","description":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94070","description":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31654","description":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31654","description":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31775","description":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1215.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1276.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31775","description":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1215.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1276.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY GRAFT REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31770","description":"BRONCHOPLASTY GRAFT REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY GRAFT REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31770","description":"BRONCHOPLASTY GRAFT REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31661","description":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31661","description":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31660","description":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31660","description":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BALLOON OCCLUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31634","description":"BRONCHOSCOPY BALLOON OCCLUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1352.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BALLOON OCCLUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31634","description":"BRONCHOSCOPY BALLOON OCCLUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1352.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31625","description":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31625","description":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31637","description":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31637","description":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31629","description":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31629","description":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31627","description":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31627","description":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/EXCISION TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31640","description":"BRONCHOSCOPY W/EXCISION TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/EXCISION TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31640","description":"BRONCHOSCOPY W/EXCISION TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31631","description":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31631","description":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31626","description":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31626","description":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31635","description":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31635","description":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31645","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31645","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31646","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31646","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31628","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31628","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31632","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31632","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31633","description":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31633","description":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19357","description":"BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1026.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19361","description":"BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58954","description":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1919.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2015.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58954","description":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1919.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2015.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58953","description":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1659.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1742.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1773.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1862.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58953","description":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1659.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1742.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1773.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1862.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58956","description":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1207.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1267.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58956","description":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1207.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1267.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BTK GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81233","description":"BTK GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BTK GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81233","description":"BTK GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUNDLE OF HIS RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93600","description":"BUNDLE OF HIS RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE FOR VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61120","description":"BURR HOLE FOR VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE FOR VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61120","description":"BURR HOLE FOR VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61210","description":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61210","description":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61120","description":"BURR HOLE VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61156","description":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1112.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1168.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61156","description":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1112.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1168.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1207.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1207.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA XDRL/SDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1207.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61253","description":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61253","description":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61250","description":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61250","description":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61250","description":"BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61140","description":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61140","description":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61150","description":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61150","description":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49180","description":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49180","description":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX ANORECTAL WALL ANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45100","description":"BX ANORECTAL WALL ANAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX ANORECTAL WALL ANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45100","description":"BX ANORECTAL WALL ANAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19100","description":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19100","description":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19085","description":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19085","description":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19081","description":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19081","description":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19083","description":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19083","description":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19086","description":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19086","description":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19082","description":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19082","description":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19084","description":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19084","description":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44100","description":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44100","description":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47001","description":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47001","description":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42806","description":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42806","description":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55715","description":"BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55715","description":"BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55713","description":"BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55713","description":"BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55714","description":"BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55714","description":"BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55706","description":"BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55712","description":"BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55712","description":"BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55709","description":"BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55709","description":"BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55710","description":"BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55710","description":"BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55711","description":"BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55711","description":"BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55708","description":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55708","description":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55706","description":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55706","description":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38505","description":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38505","description":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38525","description":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38525","description":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38510","description":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38510","description":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38530","description":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38530","description":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38500","description":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38500","description":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38520","description":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38520","description":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35682","description":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35682","description":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35683","description":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35683","description":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35566","description":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1425.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1496.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35566","description":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1425.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1496.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOBI-ILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35638","description":"BYP OTH/THN VEIN AORTOBI-ILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1488.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1562.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35646","description":"BYP OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35631","description":"BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1584.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35647","description":"BYP OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1330.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1397.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35637","description":"BYP OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35650","description":"BYP OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35621","description":"BYP OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35654","description":"BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35623","description":"BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35606","description":"BYP OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1007.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35642","description":"BYP OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35601","description":"BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1263.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35666","description":"BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35661","description":"BYP OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35656","description":"BYP OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35665","description":"BYP OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35663","description":"BYP OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35671","description":"BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35636","description":"BYP OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35616","description":"BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35612","description":"BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35645","description":"BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35570","description":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35570","description":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35571","description":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35571","description":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35681","description":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35681","description":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35632","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1547.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1624.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35632","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1547.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1624.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35633","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35633","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35634","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1590.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35634","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1590.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35626","description":"BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1437.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOBI-ILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35538","description":"BYPASS W/VEIN AORTOBI-ILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2100.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOBI-ILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35538","description":"BYPASS W/VEIN AORTOBI-ILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2100.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35540","description":"BYPASS W/VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2092.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2196.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35540","description":"BYPASS W/VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2092.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2196.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35531","description":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1670.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1754.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35531","description":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1670.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1754.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35539","description":"BYPASS W/VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1876.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1970.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35539","description":"BYPASS W/VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1876.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1970.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35537","description":"BYPASS W/VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1874.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35537","description":"BYPASS W/VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1874.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35560","description":"BYPASS W/VEIN AORTORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1460.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1533.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35560","description":"BYPASS W/VEIN AORTORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1460.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1533.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35526","description":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1488.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1563.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35526","description":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1488.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1563.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35518","description":"BYPASS W/VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35518","description":"BYPASS W/VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35522","description":"BYPASS W/VEIN AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35522","description":"BYPASS W/VEIN AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35521","description":"BYPASS W/VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35521","description":"BYPASS W/VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35533","description":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35533","description":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35525","description":"BYPASS W/VEIN BRACHIAL-BRACHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35525","description":"BYPASS W/VEIN BRACHIAL-BRACHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35523","description":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35523","description":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35510","description":"BYPASS W/VEIN CAROTID-BRACHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35510","description":"BYPASS W/VEIN CAROTID-BRACHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35509","description":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35509","description":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35506","description":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35506","description":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35508","description":"BYPASS W/VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35508","description":"BYPASS W/VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35501","description":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35501","description":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35558","description":"BYPASS W/VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1111.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35558","description":"BYPASS W/VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1111.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35556","description":"BYPASS W/VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35556","description":"BYPASS W/VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN HEPATORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35535","description":"BYPASS W/VEIN HEPATORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1630.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1711.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN HEPATORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35535","description":"BYPASS W/VEIN HEPATORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1630.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1711.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35565","description":"BYPASS W/VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35565","description":"BYPASS W/VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35563","description":"BYPASS W/VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35563","description":"BYPASS W/VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35536","description":"BYPASS W/VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1449.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35536","description":"BYPASS W/VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1449.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35516","description":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35516","description":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35512","description":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35512","description":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35511","description":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35511","description":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35515","description":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35515","description":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy of lip","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40490","description":"Biopsy of lip","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy of lip","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40490","description":"Biopsy of lip","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Bundle of His recording","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93600","description":"Bundle of His recording","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Bundle of His recording","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93600","description":"Bundle of His recording","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86140","description":"C-REACTIVE PROTEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN HIGH SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86141","description":"C-REACTIVE PROTEIN HIGH SENSITIVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN HIGH SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86141","description":"C-REACTIVE PROTEIN HIGH SENSITIVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86140","description":"C-reactive protein","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86140","description":"C-reactive protein","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33536","description":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2267.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2380.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33536","description":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2267.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2380.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33533","description":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33533","description":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33535","description":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2106.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2212.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33535","description":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2106.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2212.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33534","description":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1894.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33534","description":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1894.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81184","description":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81184","description":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81185","description":"CACNA1A GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81185","description":"CACNA1A GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81186","description":"CACNA1A GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81186","description":"CACNA1A GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CADMIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82300","description":"CADMIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAFFEINE HALOTHANE CONTRACTURE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89049","description":"CAFFEINE HALOTHANE CONTRACTURE TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82308","description":"CALCITONIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80410","description":"CALCITONIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM AFTER CALCIUM INFUSION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82331","description":"CALCIUM AFTER CALCIUM INFUSION TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82330","description":"CALCIUM IONIZED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82310","description":"CALCIUM TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM URINE QUANTITATIVE TIMED SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82340","description":"CALCIUM URINE QUANTITATIVE TIMED SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS INFRARED SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82365","description":"CALCULUS INFRARED SPECTROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS QUALITATIVE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82355","description":"CALCULUS QUALITATIVE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS QUANTITATIVE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82360","description":"CALCULUS QUANTITATIVE CHEMICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS XRAY DIFFRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82370","description":"CALCULUS XRAY DIFFRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST EACH IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92533","description":"CALORIC VESTIBULAR TEST EACH IRRIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST EACH IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92533","description":"CALORIC VESTIBULAR TEST EACH IRRIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92537","description":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92537","description":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92538","description":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92538","description":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81219","description":"CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANALITH REPOSITIONING PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95992","description":"CANALITH REPOSITIONING PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANALITH REPOSITIONING PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95992","description":"CANALITH REPOSITIONING PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULATION THORACIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38794","description":"CANNULATION THORACIC DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULATION THORACIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38794","description":"CANNULATION THORACIC DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7354","description":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7354","description":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67950","description":"CANTHOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67950","description":"CANTHOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67715","description":"CANTHOTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67715","description":"CANTHOTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25320","description":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25320","description":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27036","description":"CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":959.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28262","description":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28262","description":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28270","description":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28270","description":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULAR CONTRACTURE RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23020","description":"CAPSULAR CONTRACTURE RELEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULAR CONTRACTURE RELEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23020","description":"CAPSULAR CONTRACTURE RELEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27036","description":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":959.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27036","description":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":959.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26525","description":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26525","description":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26520","description":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26520","description":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26517","description":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26517","description":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26518","description":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26518","description":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26516","description":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26516","description":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23450","description":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23450","description":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23462","description":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23462","description":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23455","description":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23455","description":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23460","description":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23460","description":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23465","description":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23465","description":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23466","description":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23466","description":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28272","description":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28272","description":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28260","description":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28260","description":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28261","description":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28261","description":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28264","description":"CAPSULOTOMY MIDTARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28264","description":"CAPSULOTOMY MIDTARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27435","description":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27435","description":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25085","description":"CAPSULOTOMY WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25085","description":"CAPSULOTOMY WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93598","description":"CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93598","description":"CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38228","description":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38228","description":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38225","description":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38225","description":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38226","description":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38226","description":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38227","description":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38227","description":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBOHYDRATE DEFICIENT TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82373","description":"CARBOHYDRATE DEFICIENT TRANSFERRIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBON DIOXIDE BICARBONATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82374","description":"CARBON DIOXIDE BICARBONATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBOXYHEMOGLOBIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82376","description":"CARBOXYHEMOGLOBIN QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBOXYHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82375","description":"CARBOXYHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARCINOEMBRYONIC ANTIGEN CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82378","description":"CARCINOEMBRYONIC ANTIGEN CEA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78496","description":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78496","description":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78473","description":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78473","description":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78494","description":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78494","description":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78481","description":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78481","description":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78483","description":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78483","description":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78472","description":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78472","description":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78414","description":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78414","description":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75565","description":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75565","description":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75557","description":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75557","description":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75559","description":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75559","description":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/W/O CONTRAST W/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75563","description":"CARDIAC MRI W/W/O CONTRAST W/STRESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/W/O CONTRAST W/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75563","description":"CARDIAC MRI W/W/O CONTRAST W/STRESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75561","description":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75561","description":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC SHUNT DETECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78428","description":"CARDIAC SHUNT DETECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC SHUNT DETECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78428","description":"CARDIAC SHUNT DETECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92970","description":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92970","description":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOKYMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0035","description":"CARDIOKYMOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLIPIN ANTIBODY EACH IG CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86147","description":"CARDIOLIPIN ANTIBODY EACH IG CLASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY EXERCISE TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94621","description":"CARDIOPULMONARY EXERCISE TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY EXERCISE TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94621","description":"CARDIOPULMONARY EXERCISE TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92950","description":"CARDIOPULMONARY RESUSCITATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92950","description":"CARDIOPULMONARY RESUSCITATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33315","description":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1651.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1734.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33315","description":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1651.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1734.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33310","description":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33310","description":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93660","description":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93660","description":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92960","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92960","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92961","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92961","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96161","description":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96161","description":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARINAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31766","description":"CARINAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1541.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1618.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARINAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31766","description":"CARINAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1541.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1618.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARNITINE QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82379","description":"CARNITINE QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82380","description":"CAROTENE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY 1 BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25210","description":"CARPECTOMY 1 BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY 1 BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25210","description":"CARPECTOMY 1 BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY ALL BONES PROXIMAL ROW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25215","description":"CARPECTOMY ALL BONES PROXIMAL ROW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY ALL BONES PROXIMAL ROW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25215","description":"CARPECTOMY ALL BONES PROXIMAL ROW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT COSTOCHONDRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20910","description":"CARTILAGE GRAFT COSTOCHONDRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT COSTOCHONDRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20910","description":"CARTILAGE GRAFT COSTOCHONDRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20912","description":"CARTILAGE GRAFT NASAL SEPTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20912","description":"CARTILAGE GRAFT NASAL SEPTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82383","description":"CATECHOLAMINES BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES FRACTIONATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82384","description":"CATECHOLAMINES FRACTIONATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES TOTAL URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82382","description":"CATECHOLAMINES TOTAL URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58340","description":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58340","description":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31725","description":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31725","description":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93454","description":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93454","description":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93455","description":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93455","description":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93458","description":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93458","description":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93459","description":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93459","description":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93456","description":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93456","description":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93457","description":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1083.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93457","description":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1083.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHEPSIN-D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82387","description":"CATHEPSIN-D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER ASPIRATION NASOTRACHEAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31720","description":"CATHETER ASPIRATION NASOTRACHEAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER ASPIRATION NASOTRACHEAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31720","description":"CATHETER ASPIRATION NASOTRACHEAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36660","description":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36660","description":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31717","description":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31717","description":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ UMBILICAL VEIN DX/THER NB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36510","description":"CATHJ UMBILICAL VEIN DX/THER NB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ UMBILICAL VEIN DX/THER NB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36510","description":"CATHJ UMBILICAL VEIN DX/THER NB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57511","description":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57511","description":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX ELECTRO/THERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57510","description":"CAUTERY CERVIX ELECTRO/THERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX ELECTRO/THERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57510","description":"CAUTERY CERVIX ELECTRO/THERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX LASER ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57513","description":"CAUTERY CERVIX LASER ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX LASER ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57513","description":"CAUTERY CERVIX LASER ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90661","description":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90661","description":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90661","description":"CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.691,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.691,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"U0001","description":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"U0001","description":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEBPA GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81218","description":"CEBPA GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4259","description":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4259","description":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89051","description":"CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL COUNT MISCELLANEOUS BODY FLUIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89050","description":"CELL COUNT MISCELLANEOUS BODY FLUIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLULAR FUNCTION ASSAY STIMUL AND DETECT BIOMARKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86352","description":"CELLULAR FUNCTION ASSAY STIMUL AND DETECT BIOMARKE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION OF WRIST ON ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25335","description":"CENTRALIZATION OF WRIST ON ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION OF WRIST ON ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25335","description":"CENTRALIZATION OF WRIST ON ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION WRST ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25335","description":"CENTRALIZATION WRST ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CEPHALOGRAM ORTHODONTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70350","description":"CEPHALOGRAM ORTHODONTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEPHALOGRAM ORTHODONTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70350","description":"CEPHALOGRAM ORTHODONTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59325","description":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59325","description":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY VAGINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59320","description":"CERCLAGE CERVIX PREGNANCY VAGINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY VAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59320","description":"CERCLAGE CERVIX PREGNANCY VAGINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57700","description":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57700","description":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78630","description":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78630","description":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78645","description":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78645","description":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78635","description":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78635","description":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78650","description":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78650","description":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERULOPLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82390","description":"CERULOPLASMIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92519","description":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92519","description":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CAP FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4261","description":"CERVICAL CAP FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CAP FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4261","description":"CERVICAL CAP FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38724","description":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1277.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1340.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38724","description":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1277.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1340.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38720","description":"CERVICAL LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1178.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38720","description":"CERVICAL LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1178.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92517","description":"CERVICAL VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92517","description":"CERVICAL VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59620","description":"CESAREAN DELIVERY ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59620","description":"CESAREAN DELIVERY ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59514","description":"CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59514","description":"CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59515","description":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1244.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59515","description":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1244.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59622","description":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1226.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1287.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59622","description":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1226.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1287.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37214","description":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37214","description":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81220","description":"CFTR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81222","description":"CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81223","description":"CFTR GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS INTRON 8 POLY-T ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81224","description":"CFTR GENE ANALYSIS INTRON 8 POLY-T ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81221","description":"CFTR GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51710","description":"CHANGE CYSTOSTOMY TUBE COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51710","description":"CHANGE CYSTOSTOMY TUBE COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51705","description":"CHANGE CYSTOSTOMY TUBE SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51705","description":"CHANGE CYSTOSTOMY TUBE SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75984","description":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75984","description":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17250","description":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17250","description":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15789","description":"CHEMICAL PEEL FACIAL DERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15789","description":"CHEMICAL PEEL FACIAL DERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15788","description":"CHEMICAL PEEL FACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15788","description":"CHEMICAL PEEL FACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15793","description":"CHEMICAL PEEL NONFACIAL DERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15793","description":"CHEMICAL PEEL NONFACIAL DERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15792","description":"CHEMICAL PEEL NONFACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15792","description":"CHEMICAL PEEL NONFACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMILUMINESCENT ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82397","description":"CHEMILUMINESCENT ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64611","description":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64611","description":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64644","description":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64644","description":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64643","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64643","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64645","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64645","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64650","description":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64650","description":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64653","description":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64653","description":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67345","description":"CHEMODENERVATION EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67345","description":"CHEMODENERVATION EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46505","description":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46505","description":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64617","description":"CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64617","description":"CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64616","description":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64616","description":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64647","description":"CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64647","description":"CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64646","description":"CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64646","description":"CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64642","description":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64642","description":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64615","description":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64615","description":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64612","description":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64612","description":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTAXIS ASSAY SPECIFY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86155","description":"CHEMOTAXIS ASSAY SPECIFY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96422","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96422","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96420","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96420","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96406","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96406","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96405","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96405","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96423","description":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96423","description":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96415","description":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96415","description":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADM IV INF TECH; INI INF OFFICE/CLIN SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0498","description":"CHEMOTX ADM IV INF TECH; INI INF OFFICE/CLIN SET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADM IV INF TECH; INI INF OFFICE/CLIN SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0498","description":"CHEMOTX ADM IV INF TECH; INI INF OFFICE/CLIN SET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96450","description":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96450","description":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96425","description":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96425","description":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96417","description":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96417","description":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.825,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96409","description":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96409","description":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96411","description":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96411","description":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96446","description":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96446","description":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96440","description":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96440","description":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PRTL CAVITY PORT/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96446","description":"CHEMOTX ADMN PRTL CAVITY PORT/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96402","description":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96402","description":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96401","description":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96401","description":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96416","description":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96416","description":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96542","description":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96542","description":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81268","description":"CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81267","description":"CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORAMPHENICOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82415","description":"CHLORAMPHENICOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82435","description":"CHLORIDE BLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82438","description":"CHLORIDE OTHER SOURCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82436","description":"CHLORIDE URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORINATED HYDROCARBONS SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82441","description":"CHLORINATED HYDROCARBONS SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50688","description":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50688","description":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74301","description":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74301","description":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74300","description":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74300","description":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47620","description":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47620","description":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47741","description":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1301.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47741","description":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1301.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47480","description":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47480","description":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47600","description":"CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47600","description":"CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47612","description":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47612","description":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47605","description":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47605","description":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47610","description":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47610","description":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47720","description":"CHOLECYSTOENTEROSTOMY DIRECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47720","description":"CHOLECYSTOENTEROSTOMY DIRECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47740","description":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47740","description":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47721","description":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47721","description":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOGRAPHY ORAL CONTRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74290","description":"CHOLECYSTOGRAPHY ORAL CONTRST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOGRAPHY ORAL CONTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74290","description":"CHOLECYSTOGRAPHY ORAL CONTRST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47490","description":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47490","description":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47420","description":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1240.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47420","description":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1240.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47425","description":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47425","description":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.925,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLESTEROL SERUM/WHOLE BLOOD TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82465","description":"CHOLESTEROL SERUM/WHOLE BLOOD TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95857","description":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95857","description":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82482","description":"CHOLINESTERASE RBC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82480","description":"CHOLINESTERASE SERUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHONDROITIN B SULFATE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82485","description":"CHONDROITIN B SULFATE QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIONIC VILLUS SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59015","description":"CHORIONIC VILLUS SAMPLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIONIC VILLUS SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59015","description":"CHORIONIC VILLUS SAMPLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80415","description":"CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80414","description":"CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80415","description":"CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88267","description":"CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88285","description":"CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88289","description":"CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88280","description":"CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL SPECIALIZED BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88283","description":"CHRMSM ANALYSIS ADDL SPECIALIZED BANDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYZE 20-25 CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88264","description":"CHRMSM ANALYZE 20-25 CELLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88248","description":"CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88245","description":"CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE SYNDS SCORE 100 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88249","description":"CHRMSM BREAKAGE SYNDS SCORE 100 CLL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88262","description":"CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88263","description":"CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88261","description":"CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88269","description":"CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9564","description":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9564","description":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOGENIC SUBSTRATE ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85130","description":"CHROMOGENIC SUBSTRATE ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66720","description":"CILIARY BODY DESTRUCTION CRYOTHERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66720","description":"CILIARY BODY DESTRUCTION CRYOTHERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66740","description":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66740","description":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66700","description":"CILIARY BODY DESTRUCTION DIATHERMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66700","description":"CILIARY BODY DESTRUCTION DIATHERMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66710","description":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66710","description":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILTA CEL TO 100 M AUTO BCMA DIR CAR-POS TC DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2056","description":"CILTA CEL TO 100 M AUTO BCMA DIR CAR-POS TC DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606450.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608716.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILTA CEL TO 100 M AUTO BCMA DIR CAR-POS TC DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2056","description":"CILTA CEL TO 100 M AUTO BCMA DIR CAR-POS TC DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606450.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608716.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24940","description":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24940","description":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76125","description":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76125","description":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76120","description":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76120","description":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94772","description":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94772","description":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94772","description":"CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION AGE  GT 28 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54161","description":"CIRCUMCISION AGE  GT 28 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION AGE  GT 28 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54161","description":"CIRCUMCISION AGE  GT 28 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION NEONATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54160","description":"CIRCUMCISION NEONATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION NEONATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54160","description":"CIRCUMCISION NEONATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54150","description":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54150","description":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61055","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61055","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61050","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61050","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70015","description":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70015","description":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68326","description":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68326","description":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23120","description":"CLAVICULECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23120","description":"CLAVICULECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23125","description":"CLAVICULECTOMY TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23125","description":"CLAVICULECTOMY TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLITOROPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56805","description":"CLITOROPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLITOROPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56805","description":"CLITOROPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21750","description":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21750","description":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27200","description":"CLOSED TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27200","description":"CLOSED TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21320","description":"CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27768","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27768","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27767","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27767","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT SESAMOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28530","description":"CLOSED TREATMENT SESAMOID FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT SESAMOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28530","description":"CLOSED TREATMENT SESAMOID FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT STERNUM FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21820","description":"CLOSED TREATMENT STERNUM FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT STERNUM FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21820","description":"CLOSED TREATMENT STERNUM FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25650","description":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25650","description":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27840","description":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27840","description":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27810","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27810","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27808","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27808","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28405","description":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28405","description":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28400","description":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28400","description":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CRANIOFACIAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21431","description":"CLOSED TX CRANIOFACIAL SEPARATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CRANIOFACIAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21431","description":"CLOSED TX CRANIOFACIAL SEPARATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27268","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27268","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27267","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27267","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27500","description":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27500","description":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21401","description":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21401","description":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27552","description":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27552","description":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27550","description":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27550","description":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25690","description":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25690","description":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21451","description":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21451","description":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21450","description":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21450","description":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21453","description":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1017.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21453","description":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1017.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28475","description":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28475","description":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METATARSAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28470","description":"CLOSED TX METATARSAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21315","description":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21315","description":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21320","description":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21320","description":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL FRACTURE W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21315","description":"CLOSED TX NASAL FRACTURE W/O STABILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21337","description":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21337","description":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21345","description":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21345","description":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21421","description":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21421","description":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27562","description":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27562","description":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27560","description":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27560","description":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27520","description":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27520","description":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24655","description":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24655","description":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24650","description":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24650","description":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25505","description":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25505","description":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25500","description":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25500","description":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23570","description":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23570","description":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23525","description":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23525","description":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28570","description":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28570","description":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28575","description":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28575","description":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28435","description":"CLOSED TX TALUS FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28435","description":"CLOSED TX TALUS FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28430","description":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28430","description":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28605","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28605","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28600","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28600","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21485","description":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21485","description":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21480","description":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21480","description":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25535","description":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25535","description":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25530","description":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25530","description":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33600","description":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33600","description":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51880","description":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51880","description":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44620","description":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44620","description":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51940","description":"CLOSURE EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1416.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51940","description":"CLOSURE EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1416.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROCOLIC FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43880","description":"CLOSURE GASTROCOLIC FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1416.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1487.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROCOLIC FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43880","description":"CLOSURE GASTROCOLIC FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1416.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1487.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43870","description":"CLOSURE GASTROSTOMY SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43870","description":"CLOSURE GASTROSTOMY SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43870","description":"CLOSURE GASTROSTOMY SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE INTESTINAL CUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44640","description":"CLOSURE INTESTINAL CUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1285.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE INTESTINAL CUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44640","description":"CLOSURE INTESTINAL CUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1285.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40831","description":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40831","description":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40830","description":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40830","description":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACRIMAL FISTULA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68770","description":"CLOSURE LACRIMAL FISTULA SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACRIMAL FISTULA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68770","description":"CLOSURE LACRIMAL FISTULA SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33675","description":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1698.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1783.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33675","description":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1698.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1783.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33677","description":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1810.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1901.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33677","description":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1810.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1901.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33676","description":"CLOSURE MULTIPLE VSD W/RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33676","description":"CLOSURE MULTIPLE VSD W/RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50520","description":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50520","description":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69700","description":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69700","description":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45820","description":"CLOSURE RECTOURETHRAL FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45820","description":"CLOSURE RECTOURETHRAL FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45825","description":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1422.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45825","description":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1422.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOVESICAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45800","description":"CLOSURE RECTOVESICAL FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1121.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOVESICAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45800","description":"CLOSURE RECTOVESICAL FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1121.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SALIVARY FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42600","description":"CLOSURE SALIVARY FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SALIVARY FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42600","description":"CLOSURE SALIVARY FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33602","description":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1442.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33602","description":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1442.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50920","description":"CLOSURE URETEROCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50920","description":"CLOSURE URETEROCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50930","description":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50930","description":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETHROVAGINAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57310","description":"CLOSURE URETHROVAGINAL FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETHROVAGINAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57310","description":"CLOSURE URETHROVAGINAL FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOUTERINE FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51920","description":"CLOSURE VESICOUTERINE FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOUTERINE FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51920","description":"CLOSURE VESICOUTERINE FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57320","description":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57320","description":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOT LYSIS TIME WHOLE BLOOD DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85175","description":"CLOT LYSIS TIME WHOLE BLOOD DILUTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR II PROTHROMBIN SPECIFIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85210","description":"CLOTTING FACTOR II PROTHROMBIN SPECIFIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR IX PTC/CHRISTMAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85250","description":"CLOTTING FACTOR IX PTC/CHRISTMAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85220","description":"CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85230","description":"CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII AHG 1 STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85240","description":"CLOTTING FACTOR VIII AHG 1 STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85247","description":"CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII RELATED ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85244","description":"CLOTTING FACTOR VIII RELATED ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII VW FACTOR ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85246","description":"CLOTTING FACTOR VIII VW FACTOR ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85245","description":"CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR X STUART-PROWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85260","description":"CLOTTING FACTOR X STUART-PROWER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XI PTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85270","description":"CLOTTING FACTOR XI PTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XII HAGEMAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85280","description":"CLOTTING FACTOR XII HAGEMAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XIII FIBRIN STABILIZING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85290","description":"CLOTTING FACTOR XIII FIBRIN STABILIZING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85291","description":"CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85293","description":"CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85300","description":"CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN C ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85303","description":"CLOTTING INHIBITORS PROTEIN C ACTIVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN C ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85302","description":"CLOTTING INHIBITORS PROTEIN C ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN S FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85306","description":"CLOTTING INHIBITORS PROTEIN S FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN S TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85305","description":"CLOTTING INHIBITORS PROTEIN S TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85301","description":"CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85292","description":"CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23545","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23545","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23540","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23540","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23505","description":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23505","description":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23500","description":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23500","description":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21400","description":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21400","description":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24500","description":"CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX PELVIC RING FX W/MANIPULATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27198","description":"CLSD TX PELVIC RING FX W/MANIPULATION W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX PELVIC RING FX W/MANIPULATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27198","description":"CLSD TX PELVIC RING FX W/MANIPULATION W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX PELVIC RING FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27197","description":"CLSD TX PELVIC RING FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX PELVIC RING FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27197","description":"CLSD TX PELVIC RING FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23655","description":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23655","description":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23650","description":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23650","description":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23520","description":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23520","description":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33681","description":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1594.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1674.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33681","description":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1594.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1674.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33688","description":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1621.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1703.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33688","description":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1621.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1703.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46288","description":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46288","description":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32810","description":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32810","description":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44650","description":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1325.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44650","description":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1325.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44661","description":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1417.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44661","description":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1417.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44660","description":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1176.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44660","description":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1176.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43420","description":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43420","description":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43425","description":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1321.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43425","description":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1321.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM PLUG EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68761","description":"CLSR LACRIMAL PUNCTUM PLUG EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM PLUG EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68761","description":"CLSR LACRIMAL PUNCTUM PLUG EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68760","description":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68760","description":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50525","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50525","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50526","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1452.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50526","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1452.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44625","description":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44625","description":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44626","description":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1393.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1463.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44626","description":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1393.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1463.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57307","description":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57307","description":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57308","description":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57308","description":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57305","description":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57305","description":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57300","description":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57300","description":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45805","description":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1294.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1358.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45805","description":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1294.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1358.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53520","description":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53520","description":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57311","description":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57311","description":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33688","description":"CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1621.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1703.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33684","description":"CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1628.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1709.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51925","description":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51925","description":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57330","description":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57330","description":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51900","description":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51900","description":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33684","description":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1628.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1709.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33684","description":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1628.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1709.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15155","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15156","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15157","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15151","description":"CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1 PCT BODY AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15152","description":"CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1 PCT BODY AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15150","description":"CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27222","description":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27222","description":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27220","description":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27220","description":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27842","description":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27842","description":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26742","description":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26742","description":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26740","description":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26740","description":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MANJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25635","description":"CLTX CARPAL BONE FX W/MANJ EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25635","description":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25635","description":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MANJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MANJ EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26641","description":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26641","description":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26645","description":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26645","description":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26670","description":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26670","description":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26675","description":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26675","description":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27516","description":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27516","description":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27517","description":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27517","description":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27788","description":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27788","description":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27786","description":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27786","description":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26755","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26755","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26750","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26750","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26432","description":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26432","description":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27510","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27510","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27508","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27508","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27232","description":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27232","description":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27230","description":"CLTX FEM FX PROX END NCK W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27230","description":"CLTX FEM FX PROX END NCK W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27502","description":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27502","description":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28495","description":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28495","description":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28490","description":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28490","description":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28515","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28515","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28510","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28510","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27825","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27825","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27824","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27824","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23625","description":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23625","description":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER TROCHANTERIC FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27246","description":"CLTX GREATER TROCHANTERIC FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER TROCHANTERIC FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27246","description":"CLTX GREATER TROCHANTERIC FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23625","description":"CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27252","description":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27252","description":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27250","description":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27250","description":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24500","description":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24500","description":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27238","description":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27238","description":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27538","description":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27538","description":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28665","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28665","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28660","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28660","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27240","description":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27240","description":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26775","description":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26775","description":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26770","description":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26770","description":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21440","description":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21440","description":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27760","description":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27760","description":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27762","description":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27762","description":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26605","description":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26605","description":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26607","description":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26607","description":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26600","description":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26600","description":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26705","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26705","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26700","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26700","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METAR FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28475","description":"CLTX METAR FX W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28470","description":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28470","description":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28635","description":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28635","description":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28630","description":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28630","description":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26725","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26725","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26720","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26720","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27266","description":"CLTX POST HIP ARTHRP DISLC REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27266","description":"CLTX POST HIP ARTHRP DISLC REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27265","description":"CLTX POST HIP ARTHRP DISLC W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27265","description":"CLTX POST HIP ARTHRP DISLC W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27781","description":"CLTX PROX FIBULA/SHFT FX W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27781","description":"CLTX PROX FIBULA/SHFT FX W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27780","description":"CLTX PROX FIBULA/SHFT FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27780","description":"CLTX PROX FIBULA/SHFT FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23605","description":"CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23605","description":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23605","description":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27831","description":"CLTX PROX TIBFIB JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27831","description":"CLTX PROX TIBFIB JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27830","description":"CLTX PROX TIBFIB JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27830","description":"CLTX PROX TIBFIB JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23600","description":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23600","description":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25520","description":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25520","description":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23575","description":"CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23575","description":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23575","description":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27503","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27503","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27501","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27501","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28545","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28545","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28540","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28540","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27530","description":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27530","description":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27532","description":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27532","description":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27752","description":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27752","description":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27750","description":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27750","description":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27818","description":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27818","description":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27816","description":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27816","description":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22310","description":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22310","description":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22315","description":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22315","description":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74330","description":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74330","description":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57260","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57260","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57265","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57265","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92132","description":"CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2513","description":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2513","description":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2511","description":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2511","description":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2521","description":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2521","description":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49424","description":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49424","description":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36598","description":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36598","description":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94729","description":"CO DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGJ AND FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85397","description":"COAGJ AND FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85396","description":"COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME ACTIVATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85347","description":"COAGULATION TIME ACTIVATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME LEE AND WHITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85345","description":"COAGULATION TIME LEE AND WHITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85348","description":"COAGULATION TIME OTHER METHODS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCCYGECTOMY PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27080","description":"COCCYGECTOMY PRIMARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COCCYGECTOMY PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27080","description":"COCCYGECTOMY PRIMARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69930","description":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69930","description":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8627","description":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7002.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8627","description":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7002.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPL EXT SPEECH PROCESSR/CONTROLLR REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8619","description":"COCHLEAR IMPL EXT SPEECH PROCESSR/CONTROLLR REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7329.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPL EXT SPEECH PROCESSR/CONTROLLR REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8619","description":"COCHLEAR IMPL EXT SPEECH PROCESSR/CONTROLLR REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7329.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8628","description":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1241.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8628","description":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1241.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82542","description":"COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44151","description":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44151","description":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44150","description":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1706.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44150","description":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1706.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TTL ABD W/PRCTECT ILEOANAL ANAST  and  RSVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44158","description":"COLCT TTL ABD W/PRCTECT ILEOANAL ANAST  and  RSVR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1969.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2067.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TTL ABD W/PRCTECT ILEOANAL ANAST  and  RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44158","description":"COLCT TTL ABD W/PRCTECT ILEOANAL ANAST  and  RSVR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1969.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2067.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLD AGGLUTININ SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86156","description":"COLD AGGLUTININ SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD AGGLUTININ TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86157","description":"COLD AGGLUTININ TITER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44140","description":"COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1240.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44140","description":"COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1240.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44147","description":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1779.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44147","description":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1779.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44145","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1447.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1519.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44145","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1447.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1519.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44146","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1839.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1931.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44146","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1839.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1931.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44144","description":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1548.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44144","description":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1548.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44143","description":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1450.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1523.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44143","description":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1450.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1523.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44160","description":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44160","description":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44141","description":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1592.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1672.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44141","description":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1592.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1672.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44157","description":"COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1921.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2017.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44157","description":"COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1921.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2017.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44156","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2020.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2121.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44156","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2020.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2121.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44155","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1811.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1902.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44155","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1811.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1902.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1884.498,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1884.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN CROSS LINKS ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82523","description":"COLLAGEN CROSS LINKS ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN SKIN TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3031","description":"COLLAGEN SKIN TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN SKIN TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3031","description":"COLLAGEN SKIN TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36591","description":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36591","description":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLEGEN MATRIX NERVE WRAP PER 0.5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9361","description":"COLLEGEN MATRIX NERVE WRAP PER 0.5 CM LENGTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLJ  AND  INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99091","description":"COLLJ  AND  INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLJ  AND  INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99091","description":"COLLJ  AND  INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91117","description":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91117","description":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45398","description":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45398","description":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45393","description":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45393","description":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45388","description":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2131.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2238.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45388","description":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2131.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2238.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45378","description":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45378","description":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45390","description":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45390","description":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45379","description":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45379","description":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45389","description":"COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45389","description":"COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44391","description":"COLONOSCOPY STOMA CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44391","description":"COLONOSCOPY STOMA CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44388","description":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44388","description":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44392","description":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44392","description":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44405","description":"COLONOSCOPY STOMA W/BALLOON DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44405","description":"COLONOSCOPY STOMA W/BALLOON DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44389","description":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44389","description":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44403","description":"COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44403","description":"COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44406","description":"COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44406","description":"COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44390","description":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44390","description":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44394","description":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44394","description":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44404","description":"COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44404","description":"COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44407","description":"COLONOSCOPY STOMA W/US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44407","description":"COLONOSCOPY STOMA W/US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44408","description":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44408","description":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45380","description":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45380","description":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0328","description":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0328","description":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0121","description":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0121","description":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0105","description":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0105","description":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING; FLEXSIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0104","description":"COLORECTAL CANCER SCREENING; FLEXSIG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING; FLEXSIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0104","description":"COLORECTAL CANCER SCREENING; FLEXSIG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKIN LEVEL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44320","description":"COLOSTOMY/SKIN LEVEL CECOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKIN LEVEL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44320","description":"COLOSTOMY/SKIN LEVEL CECOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44322","description":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44322","description":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44025","description":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44025","description":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCENTESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57020","description":"COLPOCENTESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCENTESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57020","description":"COLPOCENTESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCLEISIS LE FORT TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57120","description":"COLPOCLEISIS LE FORT TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCLEISIS LE FORT TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57120","description":"COLPOCLEISIS LE FORT TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57210","description":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57210","description":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57280","description":"COLPOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57280","description":"COLPOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57282","description":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57282","description":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57283","description":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57283","description":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPORRHAPHY SUTURE INJURY VAGINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57200","description":"COLPORRHAPHY SUTURE INJURY VAGINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPORRHAPHY SUTURE INJURY VAGINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57200","description":"COLPORRHAPHY SUTURE INJURY VAGINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57454","description":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57454","description":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57456","description":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57456","description":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57452","description":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57452","description":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57455","description":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57455","description":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57461","description":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57461","description":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57460","description":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57460","description":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57420","description":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57420","description":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57421","description":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57421","description":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56820","description":"COLPOSCOPY VULVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56820","description":"COLPOSCOPY VULVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56821","description":"COLPOSCOPY VULVA W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56821","description":"COLPOSCOPY VULVA W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57010","description":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57010","description":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57000","description":"COLPOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57000","description":"COLPOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45382","description":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45382","description":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45386","description":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45386","description":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45391","description":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45391","description":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45384","description":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45384","description":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45385","description":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45385","description":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45392","description":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45392","description":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45381","description":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45381","description":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMBINED RAPID ANT PITUITARY EVALUATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80418","description":"COMBINED RAPID ANT PITUITARY EVALUATION PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"COMP ENVIR LEAD INVESTIGAT NOT W/LAB ANALY-DWELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1029","description":"COMP ENVIR LEAD INVESTIGAT NOT W/LAB ANALY-DWELL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP ENVIR LEAD INVESTIGAT NOT W/LAB ANALY-DWELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1029","description":"COMP ENVIR LEAD INVESTIGAT NOT W/LAB ANALY-DWELL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81266","description":"COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPARATIVE ANAL STR MARKERS PATIENT AND COMP SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81265","description":"COMPARATIVE ANAL STR MARKERS PATIENT AND COMP SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT ANTIGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86922","description":"COMPATIBILITY EACH UNIT ANTIGLOBULIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT ELECTRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86923","description":"COMPATIBILITY EACH UNIT ELECTRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86920","description":"COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT INCUBATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86921","description":"COMPATIBILITY EACH UNIT INCUBATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92018","description":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92018","description":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33694","description":"COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1681.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1765.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR T-FALLOT W/PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33697","description":"COMPL RPR T-FALLOT W/PULM ATRESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1770.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1859.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33692","description":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1683.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1768.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33692","description":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1683.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1768.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33694","description":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1681.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1765.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33694","description":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1681.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1765.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT ANTIGEN EACH COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86160","description":"COMPLEMENT ANTIGEN EACH COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT FIXATION TESTS EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86171","description":"COMPLEMENT FIXATION TESTS EACH ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86161","description":"COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT TOTAL HEMOLYTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86162","description":"COMPLEMENT TOTAL HEMOLYTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE CBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0307","description":"COMPLETE CBC AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE CBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0307","description":"COMPLETE CBC AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE CBC AUTOMATED AND AUTOMATED WBC DIFF COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0306","description":"COMPLETE CBC AUTOMATED AND AUTOMATED WBC DIFF COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE CBC AUTOMATED AND AUTOMATED WBC DIFF COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0306","description":"COMPLETE CBC AUTOMATED AND AUTOMATED WBC DIFF COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4271","description":"COMPLETE FT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1331.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1695.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4271","description":"COMPLETE FT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1331.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1695.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33697","description":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1770.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1859.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33697","description":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1770.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1859.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPLACEMENT PICC RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36584","description":"COMPLETE REPLACEMENT PICC RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPLACEMENT PICC RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36584","description":"COMPLETE REPLACEMENT PICC RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33730","description":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1731.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1818.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33730","description":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1731.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1818.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93303","description":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93303","description":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51727","description":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51727","description":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51728","description":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51728","description":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51741","description":"COMPLEX UROFLOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51741","description":"COMPLEX UROFLOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51729","description":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51729","description":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61697","description":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3759.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3947.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61697","description":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3759.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3947.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92557","description":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92557","description":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96000","description":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96000","description":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96001","description":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96001","description":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93621","description":"COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93622","description":"COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93620","description":"COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":829.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93619","description":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93619","description":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ 3D MAPG TX SVT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93653","description":"COMPRE EP EVAL ABLTJ 3D MAPG TX SVT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ 3D MAPG TX SVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93653","description":"COMPRE EP EVAL ABLTJ 3D MAPG TX SVT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ 3D MAPG TX VT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93654","description":"COMPRE EP EVAL ABLTJ 3D MAPG TX VT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ 3D MAPG TX VT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93654","description":"COMPRE EP EVAL ABLTJ 3D MAPG TX VT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93656","description":"COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93656","description":"COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93620","description":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":829.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93620","description":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":829.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93621","description":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93621","description":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93622","description":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93622","description":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE METABOLIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80053","description":"COMPREHENSIVE METABOLIC PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE METABOLIC PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80053","description":"COMPREHENSIVE METABOLIC PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71271","description":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71271","description":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92133","description":"COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED OPHTHALMIC IMAGING RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92134","description":"COMPUTERIZED OPHTHALMIC IMAGING RETINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONCENTRATION INFECTIOUS AGENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87015","description":"CONCENTRATION INFECTIOUS AGENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDITIONING PLAY AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92582","description":"CONDITIONING PLAY AUDIOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21050","description":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21050","description":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57522","description":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57522","description":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57520","description":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57520","description":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68360","description":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68360","description":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68362","description":"CONJUNCTIVAL FLAP TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68362","description":"CONJUNCTIVAL FLAP TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68325","description":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68325","description":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68320","description":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68320","description":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68750","description":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68750","description":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY W/O TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68745","description":"CONJUNCTIVORHINOSTOMY W/O TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY W/O TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68745","description":"CONJUNCTIVORHINOSTOMY W/O TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68328","description":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68328","description":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67882","description":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67882","description":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67880","description":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67880","description":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31611","description":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31611","description":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHGL FSTL AND INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31611","description":"CONSTJ TRACHEOESOPHGL FSTL AND INSJ SP PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION APICAL-AORTIC CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33404","description":"CONSTRUCTION APICAL-AORTIC CONDUIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1581.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION APICAL-AORTIC CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33404","description":"CONSTRUCTION APICAL-AORTIC CONDUIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1581.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57292","description":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57292","description":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57291","description":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57291","description":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2512","description":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2512","description":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2510","description":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2510","description":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2522","description":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2522","description":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2523","description":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2523","description":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2520","description":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2520","description":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.332,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2502","description":"CONTACT LENS PMMA BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2502","description":"CONTACT LENS PMMA BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2500","description":"CONTACT LENS PMMA SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2500","description":"CONTACT LENS PMMA SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2501","description":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2501","description":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2530","description":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2530","description":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2531","description":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2531","description":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50825","description":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50825","description":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44316","description":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44316","description":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77336","description":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77336","description":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95251","description":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95251","description":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94644","description":"CONTINUOUS INHALATION TREATMENT 1ST HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94644","description":"CONTINUOUS INHALATION TREATMENT 1ST HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S4993","description":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4993","description":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4268","description":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4268","description":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7304","description":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7304","description":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4269","description":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4269","description":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30903","description":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30903","description":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30901","description":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30901","description":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42960","description":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42960","description":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47535","description":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47535","description":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27132","description":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1466.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1539.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27132","description":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1466.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1539.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49446","description":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49446","description":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50434","description":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50434","description":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23415","description":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23415","description":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2142","description":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2142","description":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORDOCENTESIS INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59012","description":"CORDOCENTESIS INTRAUTERINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORDOCENTESIS INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59012","description":"CORDOCENTESIS INTRAUTERINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32408","description":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32408","description":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORETEXT OR PROTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4246","description":"CORETEXT OR PROTEXT PER CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3199.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORETEXT OR PROTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4246","description":"CORETEXT OR PROTEXT PER CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3199.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65430","description":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65430","description":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33517","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33517","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33518","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33518","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33519","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33519","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33521","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33521","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33522","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33522","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33523","description":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33523","description":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33510","description":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1667.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1750.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33510","description":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1667.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1750.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33511","description":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1829.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1921.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33511","description":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1829.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1921.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33512","description":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2086.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2190.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33512","description":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2086.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2190.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33513","description":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2134.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2241.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33513","description":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2134.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2241.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33514","description":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2243.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2355.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33514","description":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2243.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2355.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33516","description":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2321.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2437.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33516","description":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2321.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2437.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ENDARTERCOMY OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33572","description":"CORONARY ENDARTERCOMY OPEN ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ENDARTERCOMY OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33572","description":"CORONARY ENDARTERCOMY OPEN ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21070","description":"CORONOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21070","description":"CORONOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4232","description":"CORPLEX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4232","description":"CORPLEX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54430","description":"CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54430","description":"CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54435","description":"CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54435","description":"CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54420","description":"CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54420","description":"CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74445","description":"CORPORA CAVERNOSOGRAPY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74445","description":"CORPORA CAVERNOSOGRAPY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION CLAW FINGER OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26499","description":"CORRECTION CLAW FINGER OTHER METHODS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION CLAW FINGER OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26499","description":"CORRECTION CLAW FINGER OTHER METHODS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28286","description":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28286","description":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION EVERTED PUNCTUM CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68705","description":"CORRECTION EVERTED PUNCTUM CAUTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION EVERTED PUNCTUM CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68705","description":"CORRECTION EVERTED PUNCTUM CAUTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION HAMMERTOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28285","description":"CORRECTION HAMMERTOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION HAMMERTOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28285","description":"CORRECTION HAMMERTOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION INVERTED NIPPLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19355","description":"CORRECTION INVERTED NIPPLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION INVERTED NIPPLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19355","description":"CORRECTION INVERTED NIPPLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION LID RETRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67911","description":"CORRECTION LID RETRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION LID RETRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67911","description":"CORRECTION LID RETRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67820","description":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67820","description":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67825","description":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67825","description":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS INCCISION LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67830","description":"CORRECTION TRICHIASIS INCCISION LID MARGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS INCCISION LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67830","description":"CORRECTION TRICHIASIS INCCISION LID MARGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28297","description":"CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28299","description":"CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28296","description":"CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28295","description":"CORRJ HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28298","description":"CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28292","description":"CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28296","description":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28296","description":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28297","description":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28297","description":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28295","description":"CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28295","description":"CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28298","description":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28298","description":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28292","description":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28292","description":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28299","description":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28299","description":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67912","description":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67912","description":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44055","description":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44055","description":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67835","description":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67835","description":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82528","description":"CORTICOSTERONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTROPIC RELEASING HORM STIMJ PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80412","description":"CORTICOTROPIC RELEASING HORM STIMJ PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTISOL FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82530","description":"CORTISOL FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTISOL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82533","description":"CORTISOL TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21610","description":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21610","description":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63064","description":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1585.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1664.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63064","description":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1585.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1664.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63066","description":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63066","description":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"COVID-19 vaccine home admin","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0201","description":"COVID-19 vaccine home admin","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.349,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70371","description":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70371","description":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61698","description":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4113.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4319.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61698","description":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4113.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4319.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CPM and TX MO BDL REQ INIT FTF AL 30 M; 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G3002","description":"CPM and TX MO BDL REQ INIT FTF AL 30 M; 1ST 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPM and TX MO BDL REQ INIT FTF AL 30 M; 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G3002","description":"CPM and TX MO BDL REQ INIT FTF AL 30 M; 1ST 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92137","description":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92137","description":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92132","description":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92132","description":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92133","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92133","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92134","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92134","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61582","description":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2673.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2807.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61582","description":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2673.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2807.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61583","description":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2601.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2731.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61583","description":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2601.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2731.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61556","description":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1532.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1609.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61556","description":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1532.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1609.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61510","description":"CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1973.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2071.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61552","description":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1403.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61552","description":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1403.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61323","description":"CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2137.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2244.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61322","description":"CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61550","description":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61550","description":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61557","description":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1515.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1591.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61557","description":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1515.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1591.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY FOR OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61501","description":"CRANIECTOMY FOR OSTEOMYELITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY FOR OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61501","description":"CRANIECTOMY FOR OSTEOMYELITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61314","description":"CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1635.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1717.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61312","description":"CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1852.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1944.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61313","description":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1779.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1868.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61315","description":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1853.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1945.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61501","description":"CRANIECTOMY OSTEOMYELITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1885.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1980.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1885.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1980.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1885.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1980.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/LESION SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/LESION SKULL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61321","description":"CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1901.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1996.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61320","description":"CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1779.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61570","description":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1678.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1762.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61570","description":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1678.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1762.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61305","description":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1652.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1735.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1796.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1886.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61305","description":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1652.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1735.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1796.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1886.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61304","description":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1469.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61304","description":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1469.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61571","description":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61571","description":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61580","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2199.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2309.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61580","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2199.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2309.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61581","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2395.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2515.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61581","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2395.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2515.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62141","description":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62141","description":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62140","description":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62140","description":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62145","description":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62145","description":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62147","description":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1331.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62147","description":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1331.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61534","description":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1556.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61534","description":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1556.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61536","description":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2302.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2418.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61536","description":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2302.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2418.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61546","description":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2064.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2167.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61546","description":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2064.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2167.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61538","description":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2374.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2493.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61538","description":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2374.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2493.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61539","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2110.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2216.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61539","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2110.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2216.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61540","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1947.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2045.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61540","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1947.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2045.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61535","description":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61535","description":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61533","description":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1439.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61533","description":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1439.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61537","description":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2193.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2303.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61537","description":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2193.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2303.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61545","description":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2846.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2988.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61545","description":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2846.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2988.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61544","description":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1700.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1785.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61544","description":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1700.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1785.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62121","description":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62121","description":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61567","description":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2282.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2397.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61567","description":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2282.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2397.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61543","description":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1945.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2042.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61543","description":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1945.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2042.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61566","description":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2004.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2104.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61566","description":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2004.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2104.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61541","description":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1924.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2021.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61541","description":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1924.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2021.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61791","description":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61791","description":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61790","description":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61790","description":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE ISOENZYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82552","description":"CREATINE KINASE ISOENZYMES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE ISOFORMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82554","description":"CREATINE KINASE ISOFORMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE MB FRACTION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82553","description":"CREATINE KINASE MB FRACTION ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82550","description":"CREATINE KINASE TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82565","description":"CREATININE BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82565","description":"CREATININE BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE CLEARANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82575","description":"CREATININE CLEARANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE CLEARANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82575","description":"CREATININE CLEARANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82570","description":"CREATININE OTHER SOURCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82570","description":"CREATININE OTHER SOURCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63600","description":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63600","description":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRICOPHARYNGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43030","description":"CRICOPHARYNGEAL MYOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRICOPHARYNGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43030","description":"CRICOPHARYNGEAL MYOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRICOTRACHEAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31592","description":"CRICOTRACHEAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1607.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRICOTRACHEAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31592","description":"CRICOTRACHEAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1607.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99292","description":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99292","description":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99291","description":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99291","description":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61518","description":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2477.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2601.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61518","description":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2477.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2601.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61530","description":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2740.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2877.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61530","description":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2740.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2877.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61519","description":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2626.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2757.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61519","description":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2626.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2757.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61524","description":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1866.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1959.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61524","description":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1866.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1959.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61522","description":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1958.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2056.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61522","description":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1958.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2056.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPL/DCMPRN CRNL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61458","description":"CRNEC SOPL EXPL/DCMPRN CRNL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61458","description":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61458","description":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61450","description":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1719.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1805.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61450","description":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1719.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1805.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61343","description":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1960.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2058.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61343","description":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1960.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2058.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61526","description":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2959.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3107.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61526","description":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2959.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3107.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61514","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1714.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61514","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1714.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61510","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1973.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2071.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61510","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1973.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2071.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61512","description":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2281.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2395.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61512","description":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2281.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2395.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61516","description":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1680.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1764.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61516","description":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1680.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1764.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61514","description":"CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1714.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61516","description":"CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1680.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1764.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61512","description":"CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2281.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2395.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61521","description":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2836.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2978.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61521","description":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2836.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2978.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61520","description":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3307.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3473.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61520","description":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3307.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3473.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61322","description":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61322","description":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61321","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1901.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1996.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61321","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1901.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1996.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61320","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1779.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61320","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1779.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61315","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1853.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1945.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61315","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1853.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1945.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61314","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1635.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1717.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61314","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1635.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1717.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61313","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1779.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1868.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61313","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1779.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1868.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61312","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1852.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1944.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61312","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1852.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1944.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61323","description":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2137.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2244.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61323","description":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2137.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2244.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61860","description":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1401.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1472.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61860","description":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1401.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1472.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65772","description":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65772","description":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65775","description":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65775","description":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CROSS INTRINSIC TRANSFER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26510","description":"CROSS INTRINSIC TRANSFER EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CROSS INTRINSIC TRANSFER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26510","description":"CROSS INTRINSIC TRANSFER EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34520","description":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34520","description":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36825","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36825","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36830","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36830","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35686","description":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35686","description":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61720","description":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61720","description":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61735","description":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61735","description":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33025","description":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33025","description":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63741","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63741","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63740","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63740","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62190","description":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62190","description":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62192","description":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62192","description":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62220","description":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62220","description":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62223","description":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62223","description":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62100","description":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1405.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1476.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62100","description":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1405.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1476.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82595","description":"CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRECIPIT FIBRINOGEN CMPL PATHGEN REDUC EA UN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9026","description":"CRYOPRECIPIT FIBRINOGEN CMPL PATHGEN REDUC EA UN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRECIPIT FIBRINOGEN CMPL PATHGEN REDUC EA UN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9026","description":"CRYOPRECIPIT FIBRINOGEN CMPL PATHGEN REDUC EA UN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRECIPITATE EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9012","description":"CRYOPRECIPITATE EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRSRV FRZING AND STORAGE CELLS EA CELL LINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88240","description":"CRYOPRSRV FRZING AND STORAGE CELLS EA CELL LINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17340","description":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17340","description":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89060","description":"CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51595","description":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1884.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1978.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51595","description":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1884.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1978.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51596","description":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2034.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2135.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51596","description":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2034.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2135.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51590","description":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1665.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1748.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51590","description":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1665.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1748.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51565","description":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51565","description":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTINE AND HOMOCSTINE URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82615","description":"CSTINE AND HOMOCSTINE URINE QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTOPLASTY/CSTOURTP PLSTC ANY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51800","description":"CSTOPLASTY/CSTOURTP PLSTC ANY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTOPLASTY/CSTOURTP PLSTC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51800","description":"CSTOPLASTY/CSTOURTP PLSTC ANY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTOURTP W/UNI/BI URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51820","description":"CSTOURTP W/UNI/BI URTRONEOCSTOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":939.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTOURTP W/UNI/BI URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51820","description":"CSTOURTP W/UNI/BI URTRONEOCSTOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":939.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74178","description":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74178","description":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74177","description":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74177","description":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74176","description":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74176","description":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/O CONTRST 1 OR GT  BODY RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74178","description":"CT ABDOMEN  and  PELVIS W/O CONTRST 1 OR GT  BODY RE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74160","description":"CT ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74160","description":"CT ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74170","description":"CT ABDOMEN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74170","description":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74170","description":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74150","description":"CT ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74150","description":"CT ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIO ABD and PLVIS CNTRST MTRL W/WO CNTRST IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74174","description":"CT ANGIO ABD and PLVIS CNTRST MTRL W/WO CNTRST IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74175","description":"CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71275","description":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71275","description":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70496","description":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70496","description":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73706","description":"CT ANGIOGRAPHY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73706","description":"CT ANGIOGRAPHY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70498","description":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70498","description":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72191","description":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72191","description":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73206","description":"CT ANGIOGRAPHY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73206","description":"CT ANGIOGRAPHY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77078","description":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77078","description":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70472","description":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70472","description":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70473","description":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70473","description":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72126","description":"CT CERVICAL SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72126","description":"CT CERVICAL SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72127","description":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72127","description":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72125","description":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72125","description":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74263","description":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74263","description":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74262","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74262","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74261","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74261","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77013","description":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77013","description":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE NEEDLE PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77012","description":"CT GUIDANCE NEEDLE PLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE NEEDLE PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77012","description":"CT GUIDANCE NEEDLE PLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE STEREOTACTIC LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77011","description":"CT GUIDANCE STEREOTACTIC LOCALIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE STEREOTACTIC LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77011","description":"CT GUIDANCE STEREOTACTIC LOCALIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70460","description":"CT HEAD/BRAIN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70460","description":"CT HEAD/BRAIN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70470","description":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70470","description":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70450","description":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70450","description":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75573","description":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75573","description":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75572","description":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75572","description":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75571","description":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75571","description":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HRT CONTRST CARDIAC STRUCT AND MORPH CONG HRT D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75573","description":"CT HRT CONTRST CARDIAC STRUCT AND MORPH CONG HRT D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76380","description":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76380","description":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73701","description":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73701","description":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73702","description":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73702","description":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73700","description":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73700","description":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72132","description":"CT LUMBAR SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72132","description":"CT LUMBAR SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72133","description":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72133","description":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72131","description":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72131","description":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70487","description":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70487","description":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70488","description":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70488","description":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70486","description":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70486","description":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70481","description":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70481","description":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70482","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70482","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70480","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70480","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72193","description":"CT PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72193","description":"CT PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72194","description":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72194","description":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72192","description":"CT PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72192","description":"CT PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70491","description":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70491","description":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70492","description":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70492","description":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70490","description":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70490","description":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72129","description":"CT THORACIC SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72129","description":"CT THORACIC SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72130","description":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72130","description":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72128","description":"CT THORACIC SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72128","description":"CT THORACIC SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71260","description":"CT THORAX W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71270","description":"CT THORAX W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71250","description":"CT THORAX W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73201","description":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73201","description":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73202","description":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73202","description":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73200","description":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73200","description":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74174","description":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74174","description":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75635","description":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75635","description":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74175","description":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74175","description":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70471","description":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70471","description":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75574","description":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75574","description":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95929","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95929","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95928","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95928","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95939","description":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95939","description":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42972","description":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42972","description":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42971","description":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42971","description":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42970","description":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42970","description":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30905","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30905","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30906","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30906","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42961","description":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42961","description":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42962","description":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42962","description":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87077","description":"CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87076","description":"CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87071","description":"CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87073","description":"CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT STOOL AEROBIC ADDL PATHOGENS AND ID EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87046","description":"CUL BACT STOOL AEROBIC ADDL PATHOGENS AND ID EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT STOOL AEROBIC ISOL SALMONELLA AND SHIGELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87045","description":"CUL BACT STOOL AEROBIC ISOL SALMONELLA AND SHIGELL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87070","description":"CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87101","description":"CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87081","description":"CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87084","description":"CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO AND ID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87075","description":"CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO AND ID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87040","description":"CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87086","description":"CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BCT ISOL AND PRSMPTV ID ISOLATE EA URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87088","description":"CULTURE BCT ISOL AND PRSMPTV ID ISOLATE EA URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE CHLAMYDIA ANY SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87110","description":"CULTURE CHLAMYDIA ANY SOURCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87103","description":"CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87102","description":"CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87107","description":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87106","description":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87118","description":"CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE MYCOPLASMA ANY SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87109","description":"CULTURE MYCOPLASMA ANY SOURCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87116","description":"CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87143","description":"CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING ID BLD PTHGN and RESIST TYPING 6 Plus TRGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87154","description":"CULTURE TYPING ID BLD PTHGN and RESIST TYPING 6 Plus TRGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING ID BLD PTHGN and RESIST TYPING 6 Plus TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87154","description":"CULTURE TYPING ID BLD PTHGN and RESIST TYPING 6 Plus TRGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87152","description":"CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87140","description":"CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87147","description":"CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87149","description":"CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87158","description":"CULTURE TYPING OTHER METHODS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87150","description":"CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87153","description":"CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURETTAGE POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59160","description":"CURETTAGE POSTPARTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CURETTAGE POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59160","description":"CURETTAGE POSTPARTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46940","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46940","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46942","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46942","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUTANANEOUS APPENDICO-VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50845","description":"CUTANANEOUS APPENDICO-VESICOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1085.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CUTANANEOUS APPENDICO-VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50845","description":"CUTANANEOUS APPENDICO-VESICOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1085.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CUTANEOUS VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51980","description":"CUTANEOUS VESICOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CUTANEOUS VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51980","description":"CUTANEOUS VESICOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93015","description":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93015","description":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93018","description":"CV STRS TST XERS and /OR RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG TRCG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93017","description":"CV STRS TST XERS and /OR RX CONT ECG TRCG ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93016","description":"CV STRS TST XERS and /OR RX CONT ECG W/O I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93015","description":"CV STRS TST XERS and /OR RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93018","description":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93018","description":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93016","description":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93016","description":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93017","description":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93017","description":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82608","description":"CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYANOCOBALAMIN VITAMIN B-12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82607","description":"CYANOCOBALAMIN VITAMIN B-12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLIC CITRULLINATED PEPTIDE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86200","description":"CYCLIC CITRULLINATED PEPTIDE ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7516","description":"CYCLOSPORINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4282","description":"CYGNUS DUAL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4282","description":"CYGNUS DUAL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2C19 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81225","description":"CYP2C19 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2C9 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81227","description":"CYP2C9 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81226","description":"CYP2D6 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTATIN C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82610","description":"CYSTATIN C","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51570","description":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51570","description":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51555","description":"CYSTECTOMY PARTIAL COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51555","description":"CYSTECTOMY PARTIAL COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51550","description":"CYSTECTOMY PARTIAL SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51550","description":"CYSTECTOMY PARTIAL SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51575","description":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1648.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51575","description":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1648.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51585","description":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1818.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1909.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51585","description":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1818.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1909.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51580","description":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1635.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1717.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51580","description":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1635.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1717.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO BLADDER W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52005","description":"CYSTO BLADDER W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52281","description":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52281","description":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FRAGMENTATION URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52325","description":"CYSTO FRAGMENTATION URETERAL STONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FRAGMENTATION URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52325","description":"CYSTO FRAGMENTATION URETERAL STONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52400","description":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52400","description":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ URTL VALVES/FOLDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52400","description":"CYSTO INC FULG/RESCJ URTL VALVES/FOLDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52305","description":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52305","description":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52442","description":"CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52441","description":"CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52441","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52441","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52442","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52442","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52334","description":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52334","description":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO MANJ W/O RMVL URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52330","description":"CYSTO MANJ W/O RMVL URETERAL STONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO MANJ W/O RMVL URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52330","description":"CYSTO MANJ W/O RMVL URETERAL STONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52315","description":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52315","description":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DESTRUCTION OF LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52214","description":"CYSTO W/DESTRUCTION OF LESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DESTRUCTION OF LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52214","description":"CYSTO W/DESTRUCTION OF LESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52010","description":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52010","description":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/INSERT URETERAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52332","description":"CYSTO W/INSERT URETERAL STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/INSERT URETERAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52332","description":"CYSTO W/INSERT URETERAL STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52001","description":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52001","description":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF LESIONS SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52224","description":"CYSTO W/REMOVAL OF LESIONS SMALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF LESIONS SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52224","description":"CYSTO W/REMOVAL OF LESIONS SMALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF TUMORS SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52234","description":"CYSTO W/REMOVAL OF TUMORS SMALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF TUMORS SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52234","description":"CYSTO W/REMOVAL OF TUMORS SMALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52300","description":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52300","description":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52301","description":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52301","description":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52310","description":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52310","description":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52327","description":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52327","description":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52343","description":"CYSTO W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52343","description":"CYSTO W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52341","description":"CYSTO W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52341","description":"CYSTO W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52342","description":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52342","description":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52353","description":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52353","description":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52352","description":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52352","description":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52007","description":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52007","description":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52346","description":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52346","description":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52344","description":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52344","description":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52345","description":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52345","description":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52351","description":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52351","description":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52354","description":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52354","description":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52355","description":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52355","description":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/URETERO W/LITHOTRIPSY  and INDWELL STENT INSRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52356","description":"CYSTO/URETERO W/LITHOTRIPSY  and INDWELL STENT INSRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/URETERO W/LITHOTRIPSY  and INDWELL STENT INSRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52356","description":"CYSTO/URETERO W/LITHOTRIPSY  and INDWELL STENT INSRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74430","description":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74430","description":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51050","description":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51050","description":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51865","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51865","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51860","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51860","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51040","description":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51040","description":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51525","description":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51525","description":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51535","description":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51535","description":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISION BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51530","description":"CYSTOTOMY EXCISION BLADDER TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISION BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51530","description":"CYSTOTOMY EXCISION BLADDER TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51520","description":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51520","description":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51065","description":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51065","description":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51045","description":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51045","description":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51020","description":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51020","description":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52000","description":"CYSTOURETHROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52000","description":"CYSTOURETHROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52287","description":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52287","description":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52282","description":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52282","description":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52250","description":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52250","description":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52285","description":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52285","description":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52235","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52235","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52240","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52240","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52260","description":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52260","description":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52265","description":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52265","description":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52270","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52270","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52275","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52275","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52277","description":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52277","description":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52320","description":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52320","description":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52283","description":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52283","description":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52005","description":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52005","description":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52290","description":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52290","description":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52204","description":"CYSTOURETHROSCOPY WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52204","description":"CYSTOURETHROSCOPY WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR CPY NUMBER and SNP VRNT CGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81229","description":"CYTOG ALYS CHRMOML ABNOR CPY NUMBER and SNP VRNT CGH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR LOW-PASS SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81349","description":"CYTOG ALYS CHRMOML ABNOR LOW-PASS SEQ ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR LOW-PASS SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81349","description":"CYTOG ALYS CHRMOML ABNOR LOW-PASS SEQ ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENETICS AND MOLEC CYTOGENETICS INTERP AND REP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88291","description":"CYTOGENETICS AND MOLEC CYTOGENETICS INTERP AND REP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENOM CONST MICROARRAY COPY NUMBER AND SNP VAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81229","description":"CYTOGENOM CONST MICROARRAY COPY NUMBER AND SNP VAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90291","description":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90291","description":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88175","description":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88175","description":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88174","description":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88174","description":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V FLU AUTO THIN MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88143","description":"CYTP C/V FLU AUTO THIN MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88142","description":"CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88141","description":"CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CONCENTRATION SMEARS  AND  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88108","description":"CYTP CONCENTRATION SMEARS  AND  INTERPRETATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP EVAL FINE NEEDLE ASPIRATE INTERP  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88173","description":"CYTP EVAL FINE NEEDLE ASPIRATE INTERP  AND  REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88172","description":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88177","description":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88106","description":"CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88104","description":"CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88120","description":"CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88121","description":"CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88112","description":"CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88155","description":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88155","description":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR UNDER PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88150","description":"CYTP SLIDES C/V MNL SCR UNDER PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR UNDER PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88150","description":"CYTP SLIDES C/V MNL SCR UNDER PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88167","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88167","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88152","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88152","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88166","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88166","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88153","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88153","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88165","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88165","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88164","description":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88164","description":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC EXTND STD  GT  5 SLIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88162","description":"CYTP SMRS ANY OTH SRC EXTND STD  GT  5 SLIDES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC PREPJ SCR AND INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88161","description":"CYTP SMRS ANY OTH SRC PREPJ SCR AND INTERPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC SCR AND INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88160","description":"CYTP SMRS ANY OTH SRC SCR AND INTERPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88148","description":"CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88147","description":"CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiokymography","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0035","description":"Cardiokymography","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiokymography","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0035","description":"Cardiokymography","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chemiluminescent assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82397","description":"Chemiluminescent assay","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chromogenic substrate assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85130","description":"Chromogenic substrate assay","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Conditioning play audiometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92582","description":"Conditioning play audiometry","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Conditioning play audiometry","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92582","description":"Conditioning play audiometry","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Cryoprecipitate each unit","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9012","description":"Cryoprecipitate each unit","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Cryoprecipitate each unit","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9012","description":"Cryoprecipitate each unit","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DACARBAZINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9130","description":"DACARBAZINE 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACARBAZINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9130","description":"DACARBAZINE 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70170","description":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70170","description":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68720","description":"DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68720","description":"DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01996","description":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01996","description":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/O COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87166","description":"DARK FIELD EXAM ANY SOURCE W/O COLLECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87166","description":"DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87164","description":"DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11000","description":"DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11000","description":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11001","description":"DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11001","description":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11001","description":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11012","description":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11012","description":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11004","description":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11004","description":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11005","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11005","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT and PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11004","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT and PR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11045","description":"DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11010","description":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11010","description":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11011","description":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11011","description":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69720","description":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69720","description":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27057","description":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27057","description":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27498","description":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27498","description":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25025","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25025","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25024","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25024","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25023","description":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1218.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1219.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25023","description":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1218.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1219.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25020","description":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25020","description":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27600","description":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27600","description":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27892","description":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27892","description":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27602","description":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27602","description":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27894","description":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27894","description":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27601","description":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27601","description":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27893","description":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27893","description":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27497","description":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27497","description":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27499","description":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27499","description":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN MEDIAN NRV AT CARPL TUNL PERQ BALO DILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64728","description":"DCMPRN MEDIAN NRV AT CARPL TUNL PERQ BALO DILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1183.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN MEDIAN NRV AT CARPL TUNL PERQ BALO DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64728","description":"DCMPRN MEDIAN NRV AT CARPL TUNL PERQ BALO DILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1183.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69725","description":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1646.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1652.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1728.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1734.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69725","description":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1646.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1652.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1728.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1734.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1 OR GT  LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1 OR GT  LEVELS LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PX PERQ NUCLEUS PULPOSUS 1/MLT LVL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PX PERQ NUCLEUS PULPOSUS 1/MLT LVL LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11044","description":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11044","description":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11047","description":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11047","description":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE MUSCLE  and /FASCIA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11044","description":"DEBRIDEMENT BONE MUSCLE  and /FASCIA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69222","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69222","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69220","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69220","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and  FASCIA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11043","description":"DEBRIDEMENT MUSCLE  and  FASCIA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11043","description":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11043","description":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11046","description":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11046","description":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 1-5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11720","description":"DEBRIDEMENT NAIL ANY METHOD 1-5","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 1-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11720","description":"DEBRIDEMENT NAIL ANY METHOD 1-5","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11721","description":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11721","description":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97598","description":"DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97598","description":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97598","description":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96574","description":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96574","description":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11045","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11045","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECALCIFICATION PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88311","description":"DECALCIFICATION PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36593","description":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36593","description":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27027","description":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27027","description":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27496","description":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27496","description":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24495","description":"DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24495","description":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24495","description":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26035","description":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26035","description":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION INTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69960","description":"DECOMPRESSION INTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1660.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1743.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1746.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION INTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69960","description":"DECOMPRESSION INTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1660.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1743.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1746.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61330","description":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61330","description":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION PLANTAR DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64726","description":"DECOMPRESSION PLANTAR DIGITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION PLANTAR DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64726","description":"DECOMPRESSION PLANTAR DIGITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION UNSPECIFIED NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64722","description":"DECOMPRESSION UNSPECIFIED NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION UNSPECIFIED NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64722","description":"DECOMPRESSION UNSPECIFIED NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSIVE FASCIOTOMY HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26037","description":"DECOMPRESSIVE FASCIOTOMY HAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSIVE FASCIOTOMY HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26037","description":"DECOMPRESSIVE FASCIOTOMY HAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION  AND  PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32320","description":"DECORTICATION  AND  PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1468.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION  AND  PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32320","description":"DECORTICATION  AND  PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1468.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32225","description":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32225","description":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32220","description":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1464.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32220","description":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1464.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DEHYDROEPIANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82626","description":"DEHYDROEPIANDROSTERONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEHYDROEPIANDROSTERONE-SULFATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82627","description":"DEHYDROEPIANDROSTERONE-SULFATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15630","description":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15630","description":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15620","description":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15620","description":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15610","description":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15610","description":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15600","description":"DELAY FLAP/SECTIONING FLAP TRUNK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15600","description":"DELAY FLAP/SECTIONING FLAP TRUNK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAYED CREATION EXIT SITE EMBEDDED CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49436","description":"DELAYED CREATION EXIT SITE EMBEDDED CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAYED CREATION EXIT SITE EMBEDDED CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49436","description":"DELAYED CREATION EXIT SITE EMBEDDED CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELIGATION URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50940","description":"DELIGATION URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELIGATION URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50940","description":"DELIGATION URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY PLACENTA SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59414","description":"DELIVERY PLACENTA SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY PLACENTA SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59414","description":"DELIVERY PLACENTA SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY/BIRTHING ROOM RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99465","description":"DELIVERY/BIRTHING ROOM RESUSCITATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY/BIRTHING ROOM RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99465","description":"DELIVERY/BIRTHING ROOM RESUSCITATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE FRAME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2025","description":"DELUXE FRAME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2025","description":"DELUXE FRAME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEOXYCORTISOL 11-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82634","description":"DEOXYCORTISOL 11-","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEOXYRIBONUCLEASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86215","description":"DEOXYRIBONUCLEASE ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM SUBST NAT NONDNTRD COL NEO BOV ORIG 0.5  CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9360","description":"DERM SUBST NAT NONDNTRD COL NEO BOV ORIG 0.5  CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM-MAXX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1713.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1897.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM-MAXX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1713.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1897.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION REGIONAL OTHER THAN FACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15782","description":"DERMABRASION REGIONAL OTHER THAN FACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION REGIONAL OTHER THAN FACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15782","description":"DERMABRASION REGIONAL OTHER THAN FACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SEGMENTAL FACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15781","description":"DERMABRASION SEGMENTAL FACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SEGMENTAL FACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15781","description":"DERMABRASION SEGMENTAL FACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SUPERFICIAL ANY SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15783","description":"DERMABRASION SUPERFICIAL ANY SITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SUPERFICIAL ANY SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15783","description":"DERMABRASION SUPERFICIAL ANY SITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION TOTAL FACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15780","description":"DERMABRASION TOTAL FACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION TOTAL FACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15780","description":"DERMABRASION TOTAL FACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4248","description":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1163.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4248","description":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1163.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15130","description":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15130","description":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15131","description":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15131","description":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15130","description":"DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15131","description":"DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMINATION OF VENOUS PRESSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93770","description":"DERMINATION OF VENOUS PRESSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33875","description":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2358.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2476.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33875","description":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2358.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2476.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESOXYCORTICOSTERONE 11-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82633","description":"DESOXYCORTICOSTERONE 11-","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUC LOC LES CHOROID; PHOTOCOAG FDER VES TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0186","description":"DESTRUC LOC LES CHOROID; PHOTOCOAG FDER VES TECH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUC LOC LES CHOROID; PHOTOCOAG FDER VES TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0186","description":"DESTRUC LOC LES CHOROID; PHOTOCOAG FDER VES TECH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS 15 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17111","description":"DESTRUCTION BENIGN LESIONS 15 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS 15 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17111","description":"DESTRUCTION BENIGN LESIONS 15 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS UP TO 14","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17110","description":"DESTRUCTION BENIGN LESIONS UP TO 14","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS UP TO 14","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17110","description":"DESTRUCTION BENIGN LESIONS UP TO 14","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17106","description":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17106","description":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTANEOUS VASC PROLIFERATIVE  LT 10CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17106","description":"DESTRUCTION CUTANEOUS VASC PROLIFERATIVE  LT 10CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46930","description":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46930","description":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68135","description":"DESTRUCTION LESION CONJUNCTIVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68135","description":"DESTRUCTION LESION CONJUNCTIVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION DENTOALVEOLAR STRUCTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41850","description":"DESTRUCTION LESION DENTOALVEOLAR STRUCTURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION DENTOALVEOLAR STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41850","description":"DESTRUCTION LESION DENTOALVEOLAR STRUCTURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION LID MARGIN  LT  1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67850","description":"DESTRUCTION LESION LID MARGIN  LT  1 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION LID MARGIN  LT  1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67850","description":"DESTRUCTION LESION LID MARGIN  LT  1 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56515","description":"DESTRUCTION LESIONS VULVA EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56515","description":"DESTRUCTION LESIONS VULVA EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56501","description":"DESTRUCTION LESIONS VULVA SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56501","description":"DESTRUCTION LESIONS VULVA SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17286","description":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17286","description":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17281","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17281","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17282","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17282","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17283","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17283","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17284","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17284","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17266","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17266","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17261","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17261","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17262","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17262","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17263","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17263","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17264","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17264","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17280","description":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17280","description":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17271","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17271","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17272","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17272","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17273","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17273","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17274","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17274","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17260","description":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17260","description":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64624","description":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64624","description":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17004","description":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17004","description":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17000","description":"DESTRUCTION PREMALIGNANT LESION 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17000","description":"DESTRUCTION PREMALIGNANT LESION 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17003","description":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17003","description":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45190","description":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45190","description":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67227","description":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67227","description":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57065","description":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57065","description":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57061","description":"DESTRUCTION VAGINAL LESIONS SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57061","description":"DESTRUCTION VAGINAL LESIONS SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION OF VENOUS PRESSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93770","description":"DETERMINATION OF VENOUS PRESSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION OF VENOUS PRESSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93770","description":"DETERMINATION OF VENOUS PRESSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION REFRACTIVE STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92015","description":"DETERMINATION REFRACTIVE STATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION REFRACTIVE STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92015","description":"DETERMINATION REFRACTIVE STATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96112","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96112","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96113","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96113","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1096","description":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1096","description":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXMETHASONE SUPPRESSION PANEL 48 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80420","description":"DEXMETHASONE SUPPRESSION PANEL 48 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5501","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5501","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5500","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5500","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5503","description":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5503","description":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5505","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5505","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5506","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5506","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5504","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5504","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5507","description":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5507","description":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29805","description":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29805","description":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38220","description":"DIAGNOSTIC BONE MARROW ASPIRATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38220","description":"DIAGNOSTIC BONE MARROW ASPIRATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38221","description":"DIAGNOSTIC BONE MARROW BIOPSIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38221","description":"DIAGNOSTIC BONE MARROW BIOPSIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38222","description":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38222","description":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71270","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71270","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71260","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71260","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71250","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71250","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0279","description":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0279","description":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62270","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62270","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62328","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62328","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77066","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77066","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77065","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77065","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36909","description":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1638.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1695.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1780.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36909","description":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1638.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1695.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1780.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90947","description":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90947","description":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90945","description":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90945","description":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS TRAINING PATIENT COMPLETED COURSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90989","description":"DIALYSIS TRAINING PATIENT COMPLETED COURSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS TRAINING PATIENT COMPLETED COURSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90989","description":"DIALYSIS TRAINING PATIENT COMPLETED COURSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS TRAINING PATIENT PER TRAINING SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90993","description":"DIALYSIS TRAINING PATIENT PER TRAINING SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS TRAINING PATIENT PER TRAINING SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90993","description":"DIALYSIS TRAINING PATIENT PER TRAINING SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.323,"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4266","description":"DIAPHRAGM FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4266","description":"DIAPHRAGM FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57170","description":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57170","description":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94729","description":"DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94729","description":"DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95957","description":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95957","description":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIHYDROTESTOSTERONE (DHT)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82642","description":"DIHYDROTESTOSTERONE (DHT)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIHYDROTESTOSTERONE (DHT)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82642","description":"DIHYDROTESTOSTERONE (DHT)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45905","description":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45905","description":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53665","description":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53665","description":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53660","description":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53660","description":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53661","description":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53661","description":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45910","description":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45910","description":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53600","description":"DILAT URETHRAL STRIX DILATOR MALE 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53600","description":"DILAT URETHRAL STRIX DILATOR MALE 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53601","description":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53601","description":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53620","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53620","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53621","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53621","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53605","description":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53605","description":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42660","description":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42660","description":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  AND  CURETTAGE CERVICAL STUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57558","description":"DILATION  AND  CURETTAGE CERVICAL STUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  AND  CURETTAGE CERVICAL STUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57558","description":"DILATION  AND  CURETTAGE CERVICAL STUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58120","description":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58120","description":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57800","description":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57800","description":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43450","description":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43450","description":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPHAGUS GUIDE WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43453","description":"DILATION ESOPHAGUS GUIDE WIRE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPHAGUS GUIDE WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43453","description":"DILATION ESOPHAGUS GUIDE WIRE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68801","description":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68801","description":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION SALIVARY DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42650","description":"DILATION SALIVARY DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION SALIVARY DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42650","description":"DILATION SALIVARY DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION URETERS/URETHRA RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74485","description":"DILATION URETERS/URETHRA RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION URETERS/URETHRA RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74485","description":"DILATION URETERS/URETHRA RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57400","description":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57400","description":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR MEAS LIPOPROTEIN SMALL DENSE LDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83722","description":"DIR MEAS LIPOPROTEIN SMALL DENSE LDL CHOLESTEROL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR MEAS LIPOPROTEIN SMALL DENSE LDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83722","description":"DIR MEAS LIPOPROTEIN SMALL DENSE LDL CHOLESTEROL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35141","description":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35141","description":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35131","description":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35131","description":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35151","description":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1063.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35151","description":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1063.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35102","description":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35102","description":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35091","description":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1526.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35091","description":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1526.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35081","description":"DIR RPR ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35081","description":"DIR RPR ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35011","description":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35011","description":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35001","description":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35001","description":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35121","description":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1354.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1422.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35121","description":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1354.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1422.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35021","description":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35021","description":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35111","description":"DIR RPR ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35111","description":"DIR RPR ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35005","description":"DIR RPR ANEURYSM VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35005","description":"DIR RPR ANEURYSM VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35092","description":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2215.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2326.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35092","description":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2215.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2326.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35122","description":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1619.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1700.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35122","description":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1619.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1700.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35132","description":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1401.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1471.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35132","description":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1401.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1471.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35142","description":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1190.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35142","description":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1190.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35152","description":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35152","description":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35103","description":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1905.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35103","description":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1905.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35082","description":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1855.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1947.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35082","description":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1855.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1947.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35013","description":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35013","description":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35002","description":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35002","description":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35022","description":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35022","description":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35045","description":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35045","description":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35112","description":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1401.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1471.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35112","description":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1401.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1471.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33645","description":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1493.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1568.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33645","description":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1493.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1568.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT NASAL MUCOUS MEMBRANE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95065","description":"DIRECT NASAL MUCOUS MEMBRANE TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT NASAL MUCOUS MEMBRANE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95065","description":"DIRECT NASAL MUCOUS MEMBRANE TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION HIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27295","description":"DISARTICULATION HIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27295","description":"DISARTICULATION HIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27598","description":"DISARTICULATION KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27598","description":"DISARTICULATION KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23920","description":"DISARTICULATION SHOULDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1056.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23920","description":"DISARTICULATION SHOULDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1056.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THROUGH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25920","description":"DISARTICULATION THROUGH WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THROUGH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25920","description":"DISARTICULATION THROUGH WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25924","description":"DISARTICULATION THRU WRIST RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25924","description":"DISARTICULATION THRU WRIST RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25922","description":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25922","description":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63075","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1267.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63075","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1267.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63076","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63076","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63077","description":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63077","description":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63078","description":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63078","description":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION SECONDARY MEMBRANOUS CATARACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66820","description":"DISCISSION SECONDARY MEMBRANOUS CATARACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION SECONDARY MEMBRANOUS CATARACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66820","description":"DISCISSION SECONDARY MEMBRANOUS CATARACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67030","description":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67030","description":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42975","description":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42975","description":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY CERVICAL/THORACIC RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72285","description":"DISKOGRAPY CERVICAL/THORACIC RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY CERVICAL/THORACIC RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72285","description":"DISKOGRAPY CERVICAL/THORACIC RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY LUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72295","description":"DISKOGRAPY LUMBAR RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY LUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72295","description":"DISKOGRAPY LUMBAR RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.474,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5110","description":"DISPENSING FEE BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5110","description":"DISPENSING FEE BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.553,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL MONAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5200","description":"DISPENSING FEE CONTRALATERAL MONAURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5200","description":"DISPENSING FEE CONTRALATERAL MONAURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5240","description":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5240","description":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5241","description":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5241","description":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE UNSPECIFIED HEARING AID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5090","description":"DISPENSING FEE UNSPECIFIED HEARING AID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE UNSPECIFIED HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5090","description":"DISPENSING FEE UNSPECIFIED HEARING AID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPLACEMENT THERAPY PROETZ TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30210","description":"DISPLACEMENT THERAPY PROETZ TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISPLACEMENT THERAPY PROETZ TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30210","description":"DISPLACEMENT THERAPY PROETZ TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23921","description":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23921","description":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISSECTION DEEP JUGULAR NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38542","description":"DISSECTION DEEP JUGULAR NODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISSECTION DEEP JUGULAR NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38542","description":"DISSECTION DEEP JUGULAR NODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92587","description":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92587","description":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92588","description":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92588","description":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43130","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43130","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43135","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1279.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43135","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1279.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL VASCULAR RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33802","description":"DIVISION ABERRANT VESSEL VASCULAR RING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL VASCULAR RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33802","description":"DIVISION ABERRANT VESSEL VASCULAR RING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33803","description":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33803","description":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28250","description":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28250","description":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21705","description":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21705","description":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21700","description":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21700","description":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21725","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21725","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21720","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21720","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STRICTURE RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45150","description":"DIVISION STRICTURE RECTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STRICTURE RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45150","description":"DIVISION STRICTURE RECTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19342","description":"DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34710","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34710","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34711","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34711","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33886","description":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33886","description":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33883","description":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33883","description":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DMD DUPLICATION/DELETION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81161","description":"DMD DUPLICATION/DELETION ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANALYSIS GERMLINE MUTATS RET PROTO-ONCOGENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3840","description":"DNA ANALYSIS GERMLINE MUTATS RET PROTO-ONCOGENE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANALYSIS GERMLINE MUTATS RET PROTO-ONCOGENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3840","description":"DNA ANALYSIS GERMLINE MUTATS RET PROTO-ONCOGENE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY NATIVE/DOUBLE STRANDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86225","description":"DNA ANTIBODY NATIVE/DOUBLE STRANDED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY SINGLE STRANDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86226","description":"DNA ANTIBODY SINGLE STRANDED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27035","description":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27035","description":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DOLASETRON MESYLATE 100 MG ORL NOT  GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0180","description":"DOLASETRON MESYLATE 100 MG ORL NOT  GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOLASETRON MESYLATE 100 MG ORL NOT  GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0180","description":"DOLASETRON MESYLATE 100 MG ORL NOT  GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47133","description":"DONOR HEPATECTOMY CADAVER DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47133","description":"DONOR HEPATECTOMY CADAVER DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DOP ECHOCARD COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93325","description":"DOP ECHOCARD COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93321","description":"DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93325","description":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93325","description":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76828","description":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76828","description":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76827","description":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76827","description":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93320","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93320","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93321","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93321","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93320","description":"DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76821","description":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76821","description":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76820","description":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76820","description":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7639","description":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7639","description":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3722","description":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3722","description":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42000","description":"DRAINAGE ABSCESS PALATE UVULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42000","description":"DRAINAGE ABSCESS PALATE UVULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42305","description":"DRAINAGE ABSCESS PAROTID COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42305","description":"DRAINAGE ABSCESS PAROTID COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42300","description":"DRAINAGE ABSCESS PAROTID SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42300","description":"DRAINAGE ABSCESS PAROTID SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42320","description":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42320","description":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30000","description":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30000","description":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30020","description":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30020","description":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE DEEP PERIURETHRAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53040","description":"DRAINAGE DEEP PERIURETHRAL ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE DEEP PERIURETHRAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53040","description":"DRAINAGE DEEP PERIURETHRAL ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69020","description":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69020","description":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69000","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69000","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26011","description":"DRAINAGE FINGER ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26011","description":"DRAINAGE FINGER ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26010","description":"DRAINAGE FINGER ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26010","description":"DRAINAGE FINGER ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26030","description":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26030","description":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26025","description":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26025","description":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49060","description":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49060","description":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58822","description":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58822","description":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58820","description":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58820","description":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58805","description":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58805","description":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58800","description":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58800","description":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50020","description":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50020","description":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49020","description":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1405.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1475.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49020","description":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1405.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1475.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SCROTAL WALL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55100","description":"DRAINAGE SCROTAL WALL ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SCROTAL WALL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55100","description":"DRAINAGE SCROTAL WALL ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49040","description":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49040","description":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26020","description":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26020","description":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRESSING CHANGE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15852","description":"DRESSING CHANGE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRESSING CHANGE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15852","description":"DRESSING CHANGE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41800","description":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41800","description":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40801","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40801","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40800","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40800","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42310","description":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42310","description":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38305","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38305","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38300","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38300","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG OF SKENE'S GLAND ABSCESS OR CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53060","description":"DRG OF SKENE'S GLAND ABSCESS OR CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG OF SKENE'S GLAND ABSCESS OR CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53060","description":"DRG OF SKENE'S GLAND ABSCESS OR CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION COMPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53085","description":"DRG PERINEAL URINARY XTRVASATION COMPLIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION COMPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53085","description":"DRG PERINEAL URINARY XTRVASATION COMPLIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53080","description":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53080","description":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51080","description":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51080","description":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49062","description":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49062","description":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRONABINOL 2.5 MG ORAL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0167","description":"DRONABINOL 2.5 MG ORAL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRONABINOL 2.5 MG ORAL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0167","description":"DRONABINOL 2.5 MG ORAL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16030","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16030","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16025","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16025","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16020","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16020","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ACETAMINOPHEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80143","description":"DRUG ASSAY ACETAMINOPHEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ACETAMINOPHEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80143","description":"DRUG ASSAY ACETAMINOPHEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ADALIMUMAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80145","description":"DRUG ASSAY ADALIMUMAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ADALIMUMAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80145","description":"DRUG ASSAY ADALIMUMAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY AMIODARONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80151","description":"DRUG ASSAY AMIODARONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY AMIODARONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80151","description":"DRUG ASSAY AMIODARONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CAFFEINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80155","description":"DRUG ASSAY CAFFEINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80161","description":"DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80161","description":"DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80157","description":"DRUG ASSAY CARBAMAZEPINE FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80156","description":"DRUG ASSAY CARBAMAZEPINE TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CLOZAPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80159","description":"DRUG ASSAY CLOZAPINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CYCLOSPORINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80158","description":"DRUG ASSAY CYCLOSPORINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY EVEROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80169","description":"DRUG ASSAY EVEROLIMUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY FELBAMATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80167","description":"DRUG ASSAY FELBAMATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY FELBAMATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80167","description":"DRUG ASSAY FELBAMATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY FLECAINIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80181","description":"DRUG ASSAY FLECAINIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY FLECAINIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80181","description":"DRUG ASSAY FLECAINIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY HYDROXYCHLOROQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80220","description":"DRUG ASSAY HYDROXYCHLOROQUINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY HYDROXYCHLOROQUINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80220","description":"DRUG ASSAY HYDROXYCHLOROQUINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY INFLIXIMAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80230","description":"DRUG ASSAY INFLIXIMAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY INFLIXIMAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80230","description":"DRUG ASSAY INFLIXIMAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ITRACONAZOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80189","description":"DRUG ASSAY ITRACONAZOLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ITRACONAZOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80189","description":"DRUG ASSAY ITRACONAZOLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY LACOSAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80235","description":"DRUG ASSAY LACOSAMIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY LACOSAMIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80235","description":"DRUG ASSAY LACOSAMIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY LEFLUNOMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80193","description":"DRUG ASSAY LEFLUNOMIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY LEFLUNOMIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80193","description":"DRUG ASSAY LEFLUNOMIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY METHOTREXATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80204","description":"DRUG ASSAY METHOTREXATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY METHOTREXATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80204","description":"DRUG ASSAY METHOTREXATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY POSACONAZOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80187","description":"DRUG ASSAY POSACONAZOLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY POSACONAZOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80187","description":"DRUG ASSAY POSACONAZOLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY RUFINAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80210","description":"DRUG ASSAY RUFINAMIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY RUFINAMIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80210","description":"DRUG ASSAY RUFINAMIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY SALICYLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80179","description":"DRUG ASSAY SALICYLATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY SALICYLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80179","description":"DRUG ASSAY SALICYLATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80164","description":"DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VEDOLIZUMAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80280","description":"DRUG ASSAY VEDOLIZUMAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VEDOLIZUMAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80280","description":"DRUG ASSAY VEDOLIZUMAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VORICONAZOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80285","description":"DRUG ASSAY VORICONAZOLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VORICONAZOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80285","description":"DRUG ASSAY VORICONAZOLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80329","description":"DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ANALGESICS NON-OPIOID 3-5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80330","description":"DRUG SCREEN ANALGESICS NON-OPIOID 3-5","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80331","description":"DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80321","description":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80322","description":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT AMPHETAMINES 1 OR 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80324","description":"DRUG SCREEN QUANT AMPHETAMINES 1 OR 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT AMPHETAMINES 3 OR 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80325","description":"DRUG SCREEN QUANT AMPHETAMINES 3 OR 4","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80326","description":"DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80327","description":"DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ANABOLIC STEROID 3 OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80328","description":"DRUG SCREEN QUANT ANABOLIC STEROID 3 OR MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80165","description":"DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ALCOHOLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80320","description":"DRUG SCREEN QUANTITATIVE ALCOHOLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE AMIKACIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80150","description":"DRUG SCREEN QUANTITATIVE AMIKACIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE DIGOXIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80163","description":"DRUG SCREEN QUANTITATIVE DIGOXIN FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80162","description":"DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80168","description":"DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE GABAPENTIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80171","description":"DRUG SCREEN QUANTITATIVE GABAPENTIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE GENTAMICIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80170","description":"DRUG SCREEN QUANTITATIVE GENTAMICIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE HALOPRIDOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80173","description":"DRUG SCREEN QUANTITATIVE HALOPRIDOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LAMOTRIGINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80175","description":"DRUG SCREEN QUANTITATIVE LAMOTRIGINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LEVETIRACETAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80177","description":"DRUG SCREEN QUANTITATIVE LEVETIRACETAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LIDOCAINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80176","description":"DRUG SCREEN QUANTITATIVE LIDOCAINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LITHIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80178","description":"DRUG SCREEN QUANTITATIVE LITHIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE MYCOPHENOLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80180","description":"DRUG SCREEN QUANTITATIVE MYCOPHENOLATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE OXCARBAZEPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80183","description":"DRUG SCREEN QUANTITATIVE OXCARBAZEPINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENOBARBITAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80184","description":"DRUG SCREEN QUANTITATIVE PHENOBARBITAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENYTOIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80186","description":"DRUG SCREEN QUANTITATIVE PHENYTOIN FREE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80185","description":"DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PRIMIDONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80188","description":"DRUG SCREEN QUANTITATIVE PRIMIDONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80190","description":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80192","description":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE QUINIDINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80194","description":"DRUG SCREEN QUANTITATIVE QUINIDINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE SIROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80195","description":"DRUG SCREEN QUANTITATIVE SIROLIMUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TACROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80197","description":"DRUG SCREEN QUANTITATIVE TACROLIMUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE THEOPHYLLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80198","description":"DRUG SCREEN QUANTITATIVE THEOPHYLLINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TIAGABINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80199","description":"DRUG SCREEN QUANTITATIVE TIAGABINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TOBRAMYCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80200","description":"DRUG SCREEN QUANTITATIVE TOBRAMYCIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TOPIRAMATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80201","description":"DRUG SCREEN QUANTITATIVE TOPIRAMATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE VANCOMYCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80202","description":"DRUG SCREEN QUANTITATIVE VANCOMYCIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ZONISAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80203","description":"DRUG SCREEN QUANTITATIVE ZONISAMIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80374","description":"DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BARBITURATES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80345","description":"DRUG SCREENING BARBITURATES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BENZODIAZEPINES 13 OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80347","description":"DRUG SCREENING BENZODIAZEPINES 13 OR MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80348","description":"DRUG SCREENING BUPRENORPHINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS NATURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80349","description":"DRUG SCREENING CANNABINOIDS NATURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80350","description":"DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80351","description":"DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80352","description":"DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING COCAINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80353","description":"DRUG SCREENING COCAINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING FENTANYL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80354","description":"DRUG SCREENING FENTANYL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING GABAPENTIN NON-BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80355","description":"DRUG SCREENING GABAPENTIN NON-BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING HEROIN METABOLITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80356","description":"DRUG SCREENING HEROIN METABOLITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING KETAMINE AND NORKETAMINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80357","description":"DRUG SCREENING KETAMINE AND NORKETAMINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING METHADONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80358","description":"DRUG SCREENING METHADONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING METHYLENEDIOXYAMPHETAMINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80359","description":"DRUG SCREENING METHYLENEDIOXYAMPHETAMINES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING METHYLPHENIDATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80360","description":"DRUG SCREENING METHYLPHENIDATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.021,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIOIDS  and  OPIATE ANALOGS 5/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80364","description":"DRUG SCREENING OPIOIDS  and  OPIATE ANALOGS 5/MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80362","description":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80363","description":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.613,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING PREGABALIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80366","description":"DRUG SCREENING PREGABALIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING PROPOXYPHENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80367","description":"DRUG SCREENING PROPOXYPHENE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING SEDATIVE HYPNOTICS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80368","description":"DRUG SCREENING SEDATIVE HYPNOTICS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80370","description":"DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80369","description":"DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING STIMULANTS SYNTHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80371","description":"DRUG SCREENING STIMULANTS SYNTHETIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING TAPENTADOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80372","description":"DRUG SCREENING TAPENTADOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING TRAMADOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80373","description":"DRUG SCREENING TRAMADOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0480","description":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0480","description":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0482","description":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0482","description":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0481","description":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0481","description":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0659","description":"DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0659","description":"DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80305","description":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0483","description":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0483","description":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80307","description":"DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80306","description":"DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80375","description":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80376","description":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80377","description":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36838","description":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":980.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36838","description":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":980.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64634","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64634","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64636","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64636","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64633","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64633","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64635","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64635","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR LESIONS  GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR LESIONS  GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CYST/LESION IRIS/CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66770","description":"DSTRJ CYST/LESION IRIS/CILIARY BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CYST/LESION IRIS/CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66770","description":"DSTRJ CYST/LESION IRIS/CILIARY BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40820","description":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40820","description":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46924","description":"DSTRJ LESION ANUS EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46924","description":"DSTRJ LESION ANUS EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46900","description":"DSTRJ LESION ANUS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46900","description":"DSTRJ LESION ANUS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46916","description":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46916","description":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE LASER SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46917","description":"DSTRJ LESION ANUS SIMPLE LASER SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE LASER SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46917","description":"DSTRJ LESION ANUS SIMPLE LASER SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46922","description":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46922","description":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46910","description":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46910","description":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PC 1 OR GT  SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67220","description":"DSTRJ LESION CHOROID PC 1 OR GT  SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PC 1 OR GT  SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67220","description":"DSTRJ LESION CHOROID PC 1 OR GT  SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67225","description":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67225","description":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67221","description":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67221","description":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65450","description":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65450","description":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42160","description":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42160","description":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54065","description":"DSTRJ LESION PENIS EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54065","description":"DSTRJ LESION PENIS EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54050","description":"DSTRJ LESION PENIS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54050","description":"DSTRJ LESION PENIS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54056","description":"DSTRJ LESION PENIS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54056","description":"DSTRJ LESION PENIS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54055","description":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54055","description":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54057","description":"DSTRJ LESION PENIS SIMPLE LASER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54057","description":"DSTRJ LESION PENIS SIMPLE LASER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54060","description":"DSTRJ LESION PENIS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54060","description":"DSTRJ LESION PENIS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67218","description":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67218","description":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67208","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67208","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67210","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67210","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17276","description":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17276","description":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64610","description":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64610","description":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64620","description":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64620","description":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64640","description":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64640","description":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64630","description":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64630","description":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64632","description":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64632","description":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64605","description":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64605","description":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64680","description":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64680","description":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64681","description":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64681","description":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64600","description":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64600","description":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.971,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DT VACCINE YOUNGER THAN 7 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90702","description":"DT VACCINE YOUNGER THAN 7 YRS FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43757","description":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43757","description":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43756","description":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43756","description":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL MOTILITY MANOMETRIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91022","description":"DUODENAL MOTILITY MANOMETRIC STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL MOTILITY MANOMETRIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91022","description":"DUODENAL MOTILITY MANOMETRIC STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44010","description":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44010","description":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48547","description":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1577.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1656.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48547","description":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1577.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1656.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93978","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93978","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93979","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93979","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93975","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93975","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93976","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93976","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93980","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93980","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93981","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93981","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93925","description":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93925","description":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93926","description":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93926","description":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93930","description":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93930","description":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93931","description":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93931","description":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93970","description":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93970","description":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93971","description":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93971","description":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93985","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93985","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93986","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93986","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93880","description":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93880","description":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93882","description":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93882","description":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93990","description":"DUPLEX SCAN HEMODIALYSIS ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93990","description":"DUPLEX SCAN HEMODIALYSIS ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURAL GRAFT SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63710","description":"DURAL GRAFT SPINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DURAL GRAFT SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63710","description":"DURAL GRAFT SPINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92622","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92622","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92623","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92623","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DX INTRAOPERATIVE THORACIC AORTA ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76984","description":"DX INTRAOPERATIVE THORACIC AORTA ULTRASOUND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DX INTRAOPERATIVE THORACIC AORTA ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76984","description":"DX INTRAOPERATIVE THORACIC AORTA ULTRASOUND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DX NTRAOP EPICAR CAR US CHD PLMT and MNP TRNSDCR I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76987","description":"DX NTRAOP EPICAR CAR US CHD PLMT and MNP TRNSDCR I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DX NTRAOP EPICAR CAR US CHD PLMT and MNP TRNSDCR I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76987","description":"DX NTRAOP EPICAR CAR US CHD PLMT and MNP TRNSDCR I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76513","description":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76513","description":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77085","description":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77085","description":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77080","description":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77080","description":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77081","description":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77081","description":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY AXIAL SKELETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77085","description":"DXA BONE DENSITY STUDY AXIAL SKELETON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96002","description":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96002","description":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54231","description":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54231","description":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EACH ADD 15 MIN CPM  and  TX BY PHYS/OTH QHCP PER CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G3003","description":"EACH ADD 15 MIN CPM  and  TX BY PHYS/OTH QHCP PER CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EACH ADD 15 MIN CPM  and  TX BY PHYS/OTH QHCP PER CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G3003","description":"EACH ADD 15 MIN CPM  and  TX BY PHYS/OTH QHCP PER CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR IMPRESSION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5275","description":"EAR IMPRESSION EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR IMPRESSION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5275","description":"EAR IMPRESSION EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5265","description":"EAR MOLD/INSERT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5265","description":"EAR MOLD/INSERT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5264","description":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5264","description":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93010","description":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93010","description":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93005","description":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93005","description":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93000","description":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93000","description":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76825","description":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76825","description":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76826","description":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76826","description":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93313","description":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93313","description":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93355","description":"ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93355","description":"ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93315","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93315","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93316","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93316","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93317","description":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93317","description":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93314","description":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93314","description":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93312","description":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93312","description":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93307","description":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93307","description":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93308","description":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93308","description":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93350","description":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93350","description":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93351","description":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93351","description":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93306","description":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93306","description":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76506","description":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76506","description":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33949","description":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33949","description":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33948","description":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33948","description":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33964","description":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33964","description":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33947","description":"ECMO/ECLS INITIATION VENO-ARTERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33947","description":"ECMO/ECLS INITIATION VENO-ARTERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33946","description":"ECMO/ECLS INITIATION VENO-VENOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33946","description":"ECMO/ECLS INITIATION VENO-VENOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33956","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33956","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33955","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33955","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33954","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33954","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33952","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33952","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33953","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33953","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33951","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33951","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33985","description":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33985","description":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33963","description":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33963","description":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33957","description":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33957","description":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33962","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33962","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33959","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33959","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33958","description":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33958","description":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33986","description":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33986","description":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33969","description":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33969","description":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33965","description":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33965","description":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33966","description":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33966","description":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33984","description":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33984","description":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95836","description":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95836","description":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66711","description":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66711","description":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43259","description":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43259","description":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 1 PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98960","description":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 1 PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98960","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98960","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95721","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95721","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95722","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95722","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95723","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95723","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95724","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95724","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/O VID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95725","description":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/O VID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/O VID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95725","description":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/O VID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95726","description":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95726","description":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95700","description":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95700","description":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG EXTENDED MONITORING 61-119 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95813","description":"EEG EXTENDED MONITORING 61-119 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG EXTENDED MONITORING 61-119 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95813","description":"EEG EXTENDED MONITORING 61-119 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG NONINTRACRANIAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95955","description":"EEG NONINTRACRANIAL SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG NONINTRACRANIAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95955","description":"EEG NONINTRACRANIAL SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP 2-12 HR WITH VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95718","description":"EEG PHYS/QHP 2-12 HR WITH VEEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP 2-12 HR WITH VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95718","description":"EEG PHYS/QHP 2-12 HR WITH VEEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP 2-12 HR WITHOUT VIDEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95717","description":"EEG PHYS/QHP 2-12 HR WITHOUT VIDEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP 2-12 HR WITHOUT VIDEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95717","description":"EEG PHYS/QHP 2-12 HR WITHOUT VIDEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95720","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95720","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95719","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95719","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95709","description":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95709","description":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95708","description":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95708","description":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95710","description":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95710","description":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95706","description":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95706","description":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95705","description":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95705","description":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95707","description":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95707","description":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43270","description":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43270","description":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43249","description":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43249","description":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43244","description":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43244","description":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD DILATION GASTRIC/DUODENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43245","description":"EGD DILATION GASTRIC/DUODENAL STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD DILATION GASTRIC/DUODENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43245","description":"EGD DILATION GASTRIC/DUODENAL STRICTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43266","description":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43266","description":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43233","description":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43233","description":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43250","description":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43250","description":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43252","description":"EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43252","description":"EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43247","description":"EGD FLEXIBLE FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43247","description":"EGD FLEXIBLE FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43243","description":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43243","description":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43248","description":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43248","description":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43241","description":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43241","description":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43242","description":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43242","description":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43238","description":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43238","description":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43210","description":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43210","description":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43246","description":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43246","description":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43251","description":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43251","description":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43239","description":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43239","description":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43255","description":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43255","description":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43254","description":"EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43254","description":"EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43240","description":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43240","description":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43253","description":"EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43253","description":"EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGFR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81235","description":"EGFR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43320","description":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1294.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43320","description":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1294.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82656","description":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82656","description":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82653","description":"ELASTASE PANCREATIC FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82653","description":"ELASTASE PANCREATIC FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82664","description":"ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95983","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95983","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95984","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95984","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95977","description":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95977","description":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95972","description":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95972","description":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95970","description":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95970","description":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95971","description":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95971","description":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95976","description":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95976","description":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95981","description":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95981","description":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95980","description":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95980","description":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95982","description":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95982","description":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62370","description":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62370","description":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62368","description":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62368","description":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62367","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62367","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62369","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62369","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20975","description":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20975","description":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20974","description":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20974","description":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95873","description":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95873","description":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92270","description":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92270","description":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCOCHLEOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92584","description":"ELECTROCOCHLEOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90870","description":"ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90870","description":"ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCORTICOGRAM SURGERY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95829","description":"ELECTROCORTICOGRAM SURGERY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1533.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1610.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCORTICOGRAM SURGERY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95829","description":"ELECTROCORTICOGRAM SURGERY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1533.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1610.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95824","description":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95824","description":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95812","description":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95812","description":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95822","description":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95822","description":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95819","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95819","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95816","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95816","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROLYTE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80051","description":"ELECTROLYTE PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRON MICROSCOPY DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88348","description":"ELECTRON MICROSCOPY DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93724","description":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93724","description":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93724","description":"ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93624","description":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93624","description":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93624","description":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62000","description":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62000","description":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62005","description":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62005","description":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62010","description":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1381.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1450.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62010","description":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1381.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1450.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34101","description":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34101","description":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34001","description":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34001","description":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34201","description":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34201","description":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34051","description":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34051","description":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34203","description":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34203","description":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34151","description":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34151","description":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34111","description":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34111","description":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93897","description":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93897","description":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT HIGH MDM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT HIGH MDM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT LOW MDM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT LOW MDM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99285","description":"EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51784","description":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51784","description":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57505","description":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57505","description":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47543","description":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47543","description":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX URTR  and /RNL PELVIS NONENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50606","description":"ENDOLUMINAL BX URTR  and /RNL PELVIS NONENDOSCOPIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX URTR  and /RNL PELVIS NONENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50606","description":"ENDOLUMINAL BX URTR  and /RNL PELVIS NONENDOSCOPIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92979","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92979","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92978","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92978","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69806","description":"ENDOLYMPHATIC SAC SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69806","description":"ENDOLYMPHATIC SAC SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC W/O SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69805","description":"ENDOLYMPHATIC SAC W/O SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC W/O SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69805","description":"ENDOLYMPHATIC SAC W/O SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58353","description":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58353","description":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58110","description":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58110","description":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58100","description":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58100","description":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58356","description":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58356","description":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYOCARDIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93505","description":"ENDOMYOCARDIAL BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYOCARDIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93505","description":"ENDOMYOCARDIAL BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYSIAL ANTIBODY EACH IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86231","description":"ENDOMYSIAL ANTIBODY EACH IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYSIAL ANTIBODY EACH IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86231","description":"ENDOMYSIAL ANTIBODY EACH IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74328","description":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74328","description":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74329","description":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74329","description":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33509","description":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33509","description":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43273","description":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43273","description":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTAR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29893","description":"ENDOSCOPIC PLANTAR FASCIOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTAR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29893","description":"ENDOSCOPIC PLANTAR FASCIOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44360","description":"ENDOSCOPY UPPER SMALL INTESTINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44360","description":"ENDOSCOPY UPPER SMALL INTESTINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44361","description":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44361","description":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34841","description":"ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1810.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34841","description":"ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1810.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34842","description":"ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2005.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2106.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34842","description":"ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2005.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2106.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34843","description":"ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2201.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2311.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34843","description":"ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2201.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2311.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPR FENEST 4 PLUS  ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34844","description":"ENDOVASC VISCER AORTA REPR FENEST 4 PLUS  ENDOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2397.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2517.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPR FENEST 4 PLUS  ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34844","description":"ENDOVASC VISCER AORTA REPR FENEST 4 PLUS  ENDOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2397.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2517.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36473","description":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36473","description":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36474","description":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36474","description":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36478","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36478","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36479","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36479","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36475","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36475","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36476","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36476","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENLARGEMENT OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2625","description":"ENLARGEMENT OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENLARGEMENT OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2625","description":"ENLARGEMENT OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7601","description":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7601","description":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44121","description":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44121","description":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44125","description":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44125","description":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51960","description":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1256.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51960","description":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1256.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44130","description":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44130","description":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROLSS FRING INTSTINAL ADHESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44005","description":"ENTEROLSS FRING INTSTINAL ADHESION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROLSS FRING INTSTINAL ADHESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44005","description":"ENTEROLSS FRING INTSTINAL ADHESION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY MULTIPLE PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44603","description":"ENTERORRHAPHY MULTIPLE PERFORATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY MULTIPLE PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44603","description":"ENTERORRHAPHY MULTIPLE PERFORATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY SINGLE PERFORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44602","description":"ENTERORRHAPHY SINGLE PERFORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY SINGLE PERFORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44602","description":"ENTERORRHAPHY SINGLE PERFORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44377","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44377","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44376","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44376","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44369","description":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44369","description":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44373","description":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44373","description":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44378","description":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44378","description":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44370","description":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44370","description":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44366","description":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44366","description":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44379","description":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44379","description":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44372","description":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44372","description":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44363","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44363","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44365","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44365","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44364","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44364","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44021","description":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44021","description":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44020","description":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44020","description":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44128","description":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44128","description":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44127","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2506.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2632.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44127","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2506.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2632.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44126","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2171.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2280.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44126","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2171.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2280.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44120","description":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44120","description":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65105","description":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65105","description":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65103","description":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65103","description":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION OF EYE W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65101","description":"ENUCLEATION OF EYE W/O IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION OF EYE W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65101","description":"ENUCLEATION OF EYE W/O IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93642","description":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93642","description":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93641","description":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93641","description":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93640","description":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93640","description":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93644","description":"EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93644","description":"EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15111","description":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15111","description":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93640","description":"EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93641","description":"EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93642","description":"EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93644","description":"EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93653","description":"EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93654","description":"EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93656","description":"EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMECTOMY BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54861","description":"EPIDIDYMECTOMY BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMECTOMY BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54861","description":"EPIDIDYMECTOMY BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMECTOMY UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54860","description":"EPIDIDYMECTOMY UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMECTOMY UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54860","description":"EPIDIDYMECTOMY UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15111","description":"EPIDRM AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIGLOTTIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31420","description":"EPIGLOTTIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIGLOTTIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31420","description":"EPIGLOTTIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25455","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25455","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27185","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27185","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59300","description":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59300","description":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43277","description":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43277","description":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL and WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43276","description":"ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL and WIRE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL and WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43276","description":"ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL and WIRE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43265","description":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43265","description":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43260","description":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43260","description":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43264","description":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43264","description":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43275","description":"ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43275","description":"ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43274","description":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43274","description":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP TUMOR/POLYP/LESION ABLATION W/DILATION and WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43278","description":"ERCP TUMOR/POLYP/LESION ABLATION W/DILATION and WIRE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP TUMOR/POLYP/LESION ABLATION W/DILATION and WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43278","description":"ERCP TUMOR/POLYP/LESION ABLATION W/DILATION and WIRE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43261","description":"ERCP W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43261","description":"ERCP W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43263","description":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43263","description":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43262","description":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43262","description":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERGONOVINE PROVOCATION TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93024","description":"ERGONOVINE PROVOCATION TST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERGONOVINE PROVOCATION TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93024","description":"ERGONOVINE PROVOCATION TST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY EACH ADDITIONAL INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16036","description":"ESCHAROTOMY EACH ADDITIONAL INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY EACH ADDITIONAL INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16036","description":"ESCHAROTOMY EACH ADDITIONAL INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY FIRST INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16035","description":"ESCHAROTOMY FIRST INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY INITIAL INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16035","description":"ESCHAROTOMY INITIAL INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY INITIAL INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16035","description":"ESCHAROTOMY INITIAL INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43325","description":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43325","description":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43327","description":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43327","description":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43328","description":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43328","description":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43460","description":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43460","description":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78258","description":"ESOPHAGEAL MOTILITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78258","description":"ESOPHAGEAL MOTILITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91013","description":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91013","description":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91010","description":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91010","description":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43287","description":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3090.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3244.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43287","description":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3090.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3244.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43286","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2765.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2903.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43286","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2765.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2903.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43288","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3259.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3422.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43288","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3259.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3422.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43236","description":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43236","description":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43235","description":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43235","description":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43237","description":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43237","description":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43340","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43340","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43341","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43341","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43330","description":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43330","description":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43331","description":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43331","description":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43214","description":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43214","description":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43220","description":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43220","description":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43204","description":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43204","description":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43229","description":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43229","description":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43217","description":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43217","description":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43226","description":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43226","description":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43215","description":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43215","description":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43197","description":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43197","description":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43198","description":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43198","description":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43200","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43200","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43211","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43211","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43231","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43231","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43201","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43201","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43202","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43202","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43227","description":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43227","description":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43232","description":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43232","description":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43213","description":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43213","description":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43196","description":"ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43196","description":"ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43194","description":"ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43194","description":"ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43195","description":"ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43195","description":"ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43191","description":"ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43191","description":"ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43192","description":"ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43192","description":"ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43193","description":"ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43193","description":"ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43212","description":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43212","description":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43206","description":"ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43206","description":"ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43180","description":"ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43180","description":"ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43352","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43352","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43351","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43351","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43020","description":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43020","description":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43045","description":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43045","description":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91030","description":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91030","description":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43338","description":"ESOPHAGUS LENGTHENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43338","description":"ESOPHAGUS LENGTHENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91040","description":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91040","description":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91038","description":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91038","description":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93616","description":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93616","description":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93615","description":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93615","description":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43216","description":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43216","description":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43205","description":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43205","description":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43313","description":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2555.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2683.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43313","description":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2555.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2683.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43314","description":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2515.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2641.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2734.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2870.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43314","description":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2515.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2641.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2734.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2870.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43300","description":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43300","description":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43305","description":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43305","description":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43310","description":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1290.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43310","description":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1290.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43312","description":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1377.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1446.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43312","description":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1377.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1446.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90967","description":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90967","description":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90969","description":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90969","description":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90968","description":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90968","description":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90970","description":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90970","description":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90953","description":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90953","description":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90952","description":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90952","description":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90951","description":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90951","description":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90959","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90959","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90958","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90958","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90957","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90957","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90956","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90956","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90955","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90955","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90954","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90954","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90961","description":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90961","description":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90960","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90960","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90962","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90962","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90963","description":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90963","description":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90965","description":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90965","description":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90964","description":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90964","description":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90966","description":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90966","description":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7295","description":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7295","description":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY EXTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31205","description":"ETHMOIDECTOMY EXTRANASAL TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY EXTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31205","description":"ETHMOIDECTOMY EXTRANASAL TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31200","description":"ETHMOIDECTOMY INTRANASAL ANTERIOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31200","description":"ETHMOIDECTOMY INTRANASAL ANTERIOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31201","description":"ETHMOIDECTOMY INTRANASAL TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31201","description":"ETHMOIDECTOMY INTRANASAL TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7307","description":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1253.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1316.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7307","description":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1253.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1316.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EUGLOBULIN LYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85360","description":"EUGLOBULIN LYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION SUBUNGUAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11740","description":"EVACUATION SUBUNGUAL HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION SUBUNGUAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11740","description":"EVACUATION SUBUNGUAL HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92626","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92626","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92627","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92627","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84112","description":"EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92620","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92620","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92621","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92621","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92610","description":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92610","description":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92523","description":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92523","description":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92597","description":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92597","description":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION HEARING AID CANDIDACY 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92628","description":"EVALUATION HEARING AID CANDIDACY 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION HEARING AID CANDIDACY 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92628","description":"EVALUATION HEARING AID CANDIDACY 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION HEARING AID CANDIDACY EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92629","description":"EVALUATION HEARING AID CANDIDACY EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION HEARING AID CANDIDACY EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92629","description":"EVALUATION HEARING AID CANDIDACY EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92521","description":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92521","description":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92522","description":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92522","description":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61650","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61650","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61651","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61651","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34808","description":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34808","description":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34701","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34701","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34702","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1582.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1661.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34702","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1582.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1661.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34705","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1308.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1373.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34705","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1308.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1373.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34706","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1949.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2046.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34706","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1949.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2046.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34703","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34703","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34704","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1962.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2060.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34704","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1962.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2060.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34707","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34707","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34708","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1556.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34708","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1556.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33880","description":"EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1536.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1612.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33881","description":"EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1316.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1381.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34718","description":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1111.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34718","description":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1111.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34717","description":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34717","description":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33881","description":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1316.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1381.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33881","description":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1316.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1381.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33880","description":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1536.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1612.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33880","description":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1536.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1612.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33882","description":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1551.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1629.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33882","description":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1551.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1629.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33894","description":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33894","description":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33895","description":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33895","description":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61623","description":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61623","description":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65093","description":"EVISCERATION OCULAR CONTENTS W/IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65093","description":"EVISCERATION OCULAR CONTENTS W/IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65091","description":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65091","description":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92558","description":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92558","description":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26113","description":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26113","description":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26111","description":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26111","description":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44111","description":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44111","description":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44110","description":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44110","description":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27067","description":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27067","description":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11441","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11441","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11442","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11442","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11443","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11443","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11444","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11444","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11446","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11446","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11440","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11440","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11426","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11426","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11420","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11420","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11421","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11421","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11422","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11422","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11423","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11423","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11424","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11424","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11406","description":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11406","description":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11400","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11400","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11401","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11401","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11402","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11402","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11403","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11403","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11404","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11404","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21049","description":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21049","description":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21047","description":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21047","description":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BARTHOLINS GLAND/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56740","description":"EXC BARTHOLINS GLAND/CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61563","description":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1775.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1864.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61563","description":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1775.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1864.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61564","description":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2152.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2260.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61564","description":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2152.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2260.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21048","description":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21048","description":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21030","description":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21030","description":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21046","description":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21046","description":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47712","description":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1756.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1844.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47712","description":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1756.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1844.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47711","description":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1442.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47711","description":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1442.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42815","description":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42815","description":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42810","description":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42810","description":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19125","description":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19125","description":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19126","description":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19126","description":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60605","description":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1420.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1491.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60605","description":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1420.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1491.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60600","description":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60600","description":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57545","description":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57545","description":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67808","description":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67808","description":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33851","description":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33851","description":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33851","description":"EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33840","description":"EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15922","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15922","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15920","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15920","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26596","description":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26596","description":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57555","description":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57555","description":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57556","description":"EXC CRV STUMP VAG APPR W/RPR NTRCL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57556","description":"EXC CRV STUMP VAG APPR W/RPR NTRCL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38555","description":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38555","description":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38550","description":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38550","description":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19120","description":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19120","description":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60200","description":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60200","description":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30125","description":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30125","description":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKIN  AND  SUBQ TISSUE SUBMENTAL FAT PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15838","description":"EXC EXCSV SKIN  AND  SUBQ TISSUE SUBMENTAL FAT PAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKIN  AND  SUBQ TISSUE SUBMENTAL FAT PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15838","description":"EXC EXCSV SKIN  AND  SUBQ TISSUE SUBMENTAL FAT PAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15830","description":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15830","description":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41822","description":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41822","description":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26390","description":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26390","description":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FRENUM LABIAL/BUCCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40819","description":"EXC FRENUM LABIAL/BUCCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FRENUM LABIAL/BUCCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40819","description":"EXC FRENUM LABIAL/BUCCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYDROCELE SPRMATIC CORD UNI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55500","description":"EXC HYDROCELE SPRMATIC CORD UNI SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYDROCELE SPRMATIC CORD UNI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55500","description":"EXC HYDROCELE SPRMATIC CORD UNI SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41828","description":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41828","description":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ILEOANAL RSVR W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45136","description":"EXC ILEOANAL RSVR W/ILEOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1636.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ILEOANAL RSVR W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45136","description":"EXC ILEOANAL RSVR W/ILEOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1636.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33120","description":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33120","description":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15941","description":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15941","description":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15945","description":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15945","description":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15946","description":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15946","description":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15940","description":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15940","description":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15944","description":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15944","description":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68540","description":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68540","description":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68550","description":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68550","description":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40810","description":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40810","description":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43101","description":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43101","description":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43100","description":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43100","description":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67840","description":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67840","description":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40814","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40814","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40812","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40812","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40816","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40816","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42107","description":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42107","description":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42104","description":"EXC LESION PALATE UVULA W/O CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42104","description":"EXC LESION PALATE UVULA W/O CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42106","description":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42106","description":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION SPERMATIC CORD SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55520","description":"EXC LESION SPERMATIC CORD SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION SPERMATIC CORD SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55520","description":"EXC LESION SPERMATIC CORD SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26160","description":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26160","description":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28090","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28090","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28092","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28092","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41112","description":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41112","description":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41113","description":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41113","description":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41114","description":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41114","description":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41827","description":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41827","description":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41825","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41825","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41826","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41826","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40527","description":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40527","description":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40525","description":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40525","description":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40510","description":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40510","description":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40520","description":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40520","description":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL MALIGNANT TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43611","description":"EXC LOCAL MALIGNANT TUMOR STOMACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1047.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL MALIGNANT TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43611","description":"EXC LOCAL MALIGNANT TUMOR STOMACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1047.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43610","description":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43610","description":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44800","description":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44800","description":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40818","description":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40818","description":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64788","description":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64788","description":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64792","description":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64792","description":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64790","description":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64790","description":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64774","description":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64774","description":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64776","description":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64776","description":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64783","description":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64783","description":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64782","description":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64782","description":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64784","description":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64784","description":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41823","description":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41823","description":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PENILE PLAQUE GRAFT  GT  5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54112","description":"EXC PENILE PLAQUE GRAFT  GT  5 CM LENGTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PENILE PLAQUE GRAFT  GT  5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54112","description":"EXC PENILE PLAQUE GRAFT  GT  5 CM LENGTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PENILE PLAQUE GRAFT  and /5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54111","description":"EXC PENILE PLAQUE GRAFT  and /5 CM LENGTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PENILE PLAQUE GRAFT  and /5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54111","description":"EXC PENILE PLAQUE GRAFT  and /5 CM LENGTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRESAC/SACROCOCCYGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49215","description":"EXC PRESAC/SACROCOCCYGEAL TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1953.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2050.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRESAC/SACROCOCCYGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49215","description":"EXC PRESAC/SACROCOCCYGEAL TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1953.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2050.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42415","description":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42415","description":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42410","description":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42410","description":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42420","description":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42420","description":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42426","description":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1251.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42426","description":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1251.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45135","description":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1193.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45135","description":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1193.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45130","description":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45130","description":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45172","description":"EXC RCT TUM INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45172","description":"EXC RCT TUM INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45171","description":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45171","description":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45160","description":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45160","description":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15936","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15936","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15937","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15937","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15935","description":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15935","description":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15933","description":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15933","description":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SUBLINGUAL SALIVARY CYST RANULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42408","description":"EXC SUBLINGUAL SALIVARY CYST RANULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SUBLINGUAL SALIVARY CYST RANULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42408","description":"EXC SUBLINGUAL SALIVARY CYST RANULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TENDON FOREARM and /WRIST FLEXOR/EXTENSOR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25109","description":"EXC TENDON FOREARM and /WRIST FLEXOR/EXTENSOR EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TENDON FOREARM and /WRIST FLEXOR/EXTENSOR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25109","description":"EXC TENDON FOREARM and /WRIST FLEXOR/EXTENSOR EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC THROMBOSED HEMORRHOID XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46320","description":"EXC THROMBOSED HEMORRHOID XTRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC THROMBOSED HEMORRHOID XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46320","description":"EXC THROMBOSED HEMORRHOID XTRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31781","description":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1330.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31781","description":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1330.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15958","description":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15958","description":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15953","description":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15953","description":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15951","description":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15951","description":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15956","description":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15956","description":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15952","description":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15952","description":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15950","description":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15950","description":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26116","description":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26116","description":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26115","description":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26115","description":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25073","description":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25073","description":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21552","description":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21552","description":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21932","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21932","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21933","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21933","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21013","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21013","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21014","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21014","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25071","description":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25071","description":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25076","description":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25076","description":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21556","description":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21556","description":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23076","description":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23076","description":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24075","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24075","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24073","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24073","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24076","description":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24076","description":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22900","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22900","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22901","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22901","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22902","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22902","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22903","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22903","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28045","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28045","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28041","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28041","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25075","description":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25075","description":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27634","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27634","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27619","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27619","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27618","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27618","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21555","description":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21555","description":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21554","description":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21554","description":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27048","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27048","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27045","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27045","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27047","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27047","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23073","description":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23073","description":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27328","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27328","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27339","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27339","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24071","description":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24071","description":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51500","description":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51500","description":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53230","description":"EXC URETHRAL DIVERTICULUM SPX FEMALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53230","description":"EXC URETHRAL DIVERTICULUM SPX FEMALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53235","description":"EXC URETHRAL DIVERTICULUM SPX MALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53235","description":"EXC URETHRAL DIVERTICULUM SPX MALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55535","description":"EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55535","description":"EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55530","description":"EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55530","description":"EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55540","description":"EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55540","description":"EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26415","description":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26415","description":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTRPARENCHYMAL LESION TESTIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54512","description":"EXC XTRPARENCHYMAL LESION TESTIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTRPARENCHYMAL LESION TESTIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54512","description":"EXC XTRPARENCHYMAL LESION TESTIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26205","description":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26205","description":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26215","description":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26215","description":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28103","description":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28103","description":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27637","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27637","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27638","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27638","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23145","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23145","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23146","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23146","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24125","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24125","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24126","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24126","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28104","description":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28104","description":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24116","description":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24116","description":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23155","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23155","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23156","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23156","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23140","description":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23140","description":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24120","description":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24120","description":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24115","description":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24115","description":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23150","description":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23150","description":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28108","description":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28108","description":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28102","description":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28102","description":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28107","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28107","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28106","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28106","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25136","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25136","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25135","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25135","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25126","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25126","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25125","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42870","description":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42870","description":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION CARCINOMA URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53220","description":"EXC/FULGURATION CARCINOMA URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION CARCINOMA URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53220","description":"EXC/FULGURATION CARCINOMA URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL CARUNCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53265","description":"EXC/FULGURATION URETHRAL CARUNCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL CARUNCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53265","description":"EXC/FULGURATION URETHRAL CARUNCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53260","description":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53260","description":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47536","description":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47536","description":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66986","description":"EXCHANGE INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66986","description":"EXCHANGE INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50435","description":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50435","description":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49423","description":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49423","description":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG TRANSFUSION BLOOD NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36450","description":"EXCHNG TRANSFUSION BLOOD NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36455","description":"EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96922","description":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96922","description":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96921","description":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96921","description":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96920","description":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96920","description":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67966","description":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67966","description":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67961","description":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67961","description":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21615","description":"EXCISION 1ST  and /CERVICAL RIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21615","description":"EXCISION 1ST  and /CERVICAL RIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21616","description":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21616","description":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AMPULLA VATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48148","description":"EXCISION AMPULLA VATER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AMPULLA VATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48148","description":"EXCISION AMPULLA VATER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR EXTENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69554","description":"EXCISION AURAL GLOMUS TUMOR EXTENDED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2234.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2345.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2351.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR EXTENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69554","description":"EXCISION AURAL GLOMUS TUMOR EXTENDED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2234.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2345.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2351.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69550","description":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69550","description":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69552","description":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1470.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1479.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69552","description":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1470.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1479.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL POLYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69540","description":"EXCISION AURAL POLYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL POLYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69540","description":"EXCISION AURAL POLYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BARTHOLINS GLAND OR CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56740","description":"EXCISION BARTHOLINS GLAND OR CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BARTHOLINS GLAND OR CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56740","description":"EXCISION BARTHOLINS GLAND OR CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21040","description":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21040","description":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BENIGN TUMOR DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27066","description":"EXCISION BONE CYST/BENIGN TUMOR DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BENIGN TUMOR DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27066","description":"EXCISION BONE CYST/BENIGN TUMOR DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27065","description":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27065","description":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21025","description":"EXCISION BONE MANDIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21025","description":"EXCISION BONE MANDIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57540","description":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57540","description":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57550","description":"EXCISION CERVICAL STUMP VAGINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57550","description":"EXCISION CERVICAL STUMP VAGINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21603","description":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1471.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1481.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1545.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1555.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21603","description":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1471.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1481.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1545.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1555.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21602","description":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1417.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21602","description":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1417.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67805","description":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67805","description":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE SAME LID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67801","description":"EXCISION CHALAZION MULTIPLE SAME LID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE SAME LID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67801","description":"EXCISION CHALAZION MULTIPLE SAME LID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67800","description":"EXCISION CHALAZION SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67800","description":"EXCISION CHALAZION SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21601","description":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21601","description":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHOLEDOCHAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47715","description":"EXCISION CHOLEDOCHAL CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1233.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHOLEDOCHAL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47715","description":"EXCISION CHOLEDOCHAL CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1233.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33840","description":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33840","description":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33845","description":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33845","description":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30124","description":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30124","description":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25240","description":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25240","description":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EPIPHYSEAL BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20150","description":"EXCISION EPIPHYSEAL BAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EPIPHYSEAL BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20150","description":"EXCISION EPIPHYSEAL BAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15847","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15847","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69140","description":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69140","description":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69120","description":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69120","description":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69110","description":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69110","description":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21026","description":"EXCISION FACIAL BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21026","description":"EXCISION FACIAL BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25111","description":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25111","description":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25112","description":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25112","description":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11471","description":"EXCISION H/P/P/U COMPLEX REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11471","description":"EXCISION H/P/P/U COMPLEX REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11470","description":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11470","description":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11451","description":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11451","description":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11450","description":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11450","description":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11463","description":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11463","description":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11462","description":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11462","description":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55041","description":"EXCISION HYDROCELE BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55041","description":"EXCISION HYDROCELE BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55040","description":"EXCISION HYDROCELE UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55040","description":"EXCISION HYDROCELE UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35907","description":"EXCISION INFECTED GRAFT ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1630.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1711.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35907","description":"EXCISION INFECTED GRAFT ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1630.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1711.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35903","description":"EXCISION INFECTED GRAFT EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35903","description":"EXCISION INFECTED GRAFT EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35905","description":"EXCISION INFECTED GRAFT THORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1440.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1512.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35905","description":"EXCISION INFECTED GRAFT THORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1440.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1512.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED NECK GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35901","description":"EXCISION INFECTED NECK GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED NECK GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35901","description":"EXCISION INFECTED NECK GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30130","description":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30130","description":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28080","description":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28080","description":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION ISCHIAL BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27060","description":"EXCISION ISCHIAL BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION ISCHIAL BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27060","description":"EXCISION ISCHIAL BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68505","description":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68505","description":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68500","description":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68500","description":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68520","description":"EXCISION LACRIMAL SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68520","description":"EXCISION LACRIMAL SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACTIFEROUS DUCT FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19112","description":"EXCISION LACTIFEROUS DUCT FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACTIFEROUS DUCT FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19112","description":"EXCISION LACTIFEROUS DUCT FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  GT  1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68115","description":"EXCISION LESION CONJUNCTIVA  GT  1 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  GT  1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68115","description":"EXCISION LESION CONJUNCTIVA  GT  1 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  LT 1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68110","description":"EXCISION LESION CONJUNCTIVA  LT 1 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  LT 1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68110","description":"EXCISION LESION CONJUNCTIVA  LT 1 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68130","description":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68130","description":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CORNEA XCP PTERYGIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65400","description":"EXCISION LESION CORNEA XCP PTERYGIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CORNEA XCP PTERYGIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65400","description":"EXCISION LESION CORNEA XCP PTERYGIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41116","description":"EXCISION LESION FLOOR MOUTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41116","description":"EXCISION LESION FLOOR MOUTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MENISCUS/CAPSULE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27347","description":"EXCISION LESION MENISCUS/CAPSULE KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MENISCUS/CAPSULE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27347","description":"EXCISION LESION MENISCUS/CAPSULE KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44820","description":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44820","description":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION PANCREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48120","description":"EXCISION LESION PANCREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION PANCREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48120","description":"EXCISION LESION PANCREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66130","description":"EXCISION LESION SCLERA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66130","description":"EXCISION LESION SCLERA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25110","description":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25110","description":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27630","description":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27630","description":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TONGUE W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41110","description":"EXCISION LESION TONGUE W/O CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TONGUE W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41110","description":"EXCISION LESION TONGUE W/O CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LINGUAL FRENUM FRENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41115","description":"EXCISION LINGUAL FRENUM FRENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LINGUAL FRENUM FRENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41115","description":"EXCISION LINGUAL FRENUM FRENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LOCAL LESION EPIDIDYMIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54830","description":"EXCISION LOCAL LESION EPIDIDYMIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LOCAL LESION EPIDIDYMIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54830","description":"EXCISION LOCAL LESION EPIDIDYMIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11600","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11600","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11601","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11601","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11602","description":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11602","description":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11603","description":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11603","description":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11604","description":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11604","description":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11646","description":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11646","description":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11640","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11640","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11641","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11641","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11642","description":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11642","description":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11643","description":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11643","description":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11644","description":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11644","description":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11626","description":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11626","description":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11620","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11620","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11621","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11621","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11622","description":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11622","description":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11623","description":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11623","description":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11624","description":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11624","description":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11606","description":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11606","description":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21044","description":"EXCISION MALIGNANT TUMOR MANDIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21044","description":"EXCISION MALIGNANT TUMOR MANDIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21045","description":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1108.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21045","description":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1108.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21034","description":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1108.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1205.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21034","description":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1108.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1205.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAXILLARY TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21032","description":"EXCISION MAXILLARY TORUS PALATINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAXILLARY TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21032","description":"EXCISION MAXILLARY TORUS PALATINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULLERIAN DUCT CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55680","description":"EXCISION MULLERIAN DUCT CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULLERIAN DUCT CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55680","description":"EXCISION MULLERIAN DUCT CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46230","description":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46230","description":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL MATRIX PERMANENT REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11750","description":"EXCISION NAIL MATRIX PERMANENT REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11750","description":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11750","description":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30115","description":"EXCISION NASAL POLYP EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30115","description":"EXCISION NASAL POLYP EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30110","description":"EXCISION NASAL POLYP SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30110","description":"EXCISION NASAL POLYP SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64778","description":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64778","description":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64786","description":"EXCISION NEUROMA SCIATIC NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64786","description":"EXCISION NEUROMA SCIATIC NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BULBOURETHRAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53250","description":"EXCISION OF BULBOURETHRAL GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BULBOURETHRAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53250","description":"EXCISION OF BULBOURETHRAL GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF PENILE PLAQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54110","description":"EXCISION OF PENILE PLAQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF PENILE PLAQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54110","description":"EXCISION OF PENILE PLAQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OLECRANON BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24105","description":"EXCISION OLECRANON BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OLECRANON BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24105","description":"EXCISION OLECRANON BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OR FULGURATION SKENES GLANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53270","description":"EXCISION OR FULGURATION SKENES GLANDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OR FULGURATION SKENES GLANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53270","description":"EXCISION OR FULGURATION SKENES GLANDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42425","description":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42425","description":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PERINEPHRIC CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50290","description":"EXCISION PERINEPHRIC CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PERINEPHRIC CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50290","description":"EXCISION PERINEPHRIC CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11772","description":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11772","description":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11771","description":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11771","description":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11770","description":"EXCISION PILONIDAL CYST/SINUS SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11770","description":"EXCISION PILONIDAL CYST/SINUS SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PREPATELLAR BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27340","description":"EXCISION PREPATELLAR BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PREPATELLAR BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27340","description":"EXCISION PREPATELLAR BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24130","description":"EXCISION RADIAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24130","description":"EXCISION RADIAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RIB PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21600","description":"EXCISION RIB PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RIB PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21600","description":"EXCISION RIB PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15931","description":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15931","description":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15934","description":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15934","description":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46220","description":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46220","description":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15830","description":"EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69145","description":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69145","description":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54840","description":"EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54840","description":"EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42440","description":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42440","description":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27345","description":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27345","description":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26180","description":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26180","description":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26170","description":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26170","description":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60280","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60280","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60281","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60281","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TONSIL TAGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42860","description":"EXCISION TONSIL TAGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TONSIL TAGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42860","description":"EXCISION TONSIL TAGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21031","description":"EXCISION TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21031","description":"EXCISION TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31780","description":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31780","description":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31785","description":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31785","description":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31786","description":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31786","description":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27062","description":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27062","description":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21931","description":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21931","description":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28039","description":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28039","description":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21011","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21011","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21012","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21012","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21930","description":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21930","description":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28043","description":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28043","description":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27632","description":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27632","description":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27043","description":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27043","description":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23075","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23075","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23071","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23071","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27327","description":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27327","description":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57135","description":"EXCISION VAGINAL CYST/TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57135","description":"EXCISION VAGINAL CYST/TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57130","description":"EXCISION VAGINAL SEPTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57130","description":"EXCISION VAGINAL SEPTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27635","description":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27635","description":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25130","description":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25130","description":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27355","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27355","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27358","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27358","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27356","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27356","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27357","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27357","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26200","description":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26210","description":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26210","description":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25120","description":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25120","description":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28100","description":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28100","description":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24110","description":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24110","description":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30117","description":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30117","description":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30118","description":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30118","description":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42808","description":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42808","description":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/FULGURATION URETHRAL PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53275","description":"EXCISION/FULGURATION URETHRAL PROLAPSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/FULGURATION URETHRAL PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53275","description":"EXCISION/FULGURATION URETHRAL PROLAPSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30120","description":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30120","description":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65426","description":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65426","description":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65420","description":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65420","description":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/UNROOFING CYST KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50280","description":"EXCISION/UNROOFING CYST KIDNEY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/UNROOFING CYST KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50280","description":"EXCISION/UNROOFING CYST KIDNEY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27337","description":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27337","description":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44700","description":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44700","description":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65110","description":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1215.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65110","description":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1215.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT RMVL ORBIT CONTENTS  AND  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65112","description":"EXENTERATION ORBIT RMVL ORBIT CONTENTS  AND  BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1325.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1392.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT RMVL ORBIT CONTENTS  AND  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65112","description":"EXENTERATION ORBIT RMVL ORBIT CONTENTS  AND  BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1325.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1392.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXERCISE TEST FOR BRONCHOSPASM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94617","description":"EXERCISE TEST FOR BRONCHOSPASM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXISION OF SUBLINGUAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42450","description":"EXISION OF SUBLINGUAL GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXISION OF SUBLINGUAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42450","description":"EXISION OF SUBLINGUAL GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65114","description":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1452.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65114","description":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1452.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL CONGENITAL ATRESIA BILE DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47700","description":"EXPL CONGENITAL ATRESIA BILE DUCTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL CONGENITAL ATRESIA BILE DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47700","description":"EXPL CONGENITAL ATRESIA BILE DUCTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61333","description":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1804.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1894.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61333","description":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1804.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1894.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20102","description":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20102","description":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35840","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35840","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35820","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1735.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1821.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35820","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1735.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1821.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35800","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35800","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35860","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35860","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RETROPERITONEUM W/WO BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49010","description":"EXPL RETROPERITONEUM W/WO BX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RETROPERITONEUM W/WO BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49010","description":"EXPL RETROPERITONEUM W/WO BX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45562","description":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45562","description":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45563","description":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1460.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1533.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45563","description":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1460.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1533.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54560","description":"EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54560","description":"EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54550","description":"EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54550","description":"EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25248","description":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25248","description":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54865","description":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54865","description":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35703","description":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35703","description":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG NECK ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35701","description":"EXPLORATION N/FLWD SURG NECK ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG NECK ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35701","description":"EXPLORATION N/FLWD SURG NECK ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35702","description":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35702","description":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20101","description":"EXPLORATION PENETRATING WOUND SPX CHEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20101","description":"EXPLORATION PENETRATING WOUND SPX CHEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20103","description":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20103","description":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20100","description":"EXPLORATION PENETRATING WOUND SPX NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20100","description":"EXPLORATION PENETRATING WOUND SPX NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION SPINAL FUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22830","description":"EXPLORATION SPINAL FUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION SPINAL FUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22830","description":"EXPLORATION SPINAL FUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49000","description":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49000","description":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55860","description":"EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55860","description":"EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55865","description":"EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55865","description":"EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55862","description":"EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55862","description":"EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPRESSION CONJUNCTIVAL FOLLICLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68040","description":"EXPRESSION CONJUNCTIVAL FOLLICLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPRESSION CONJUNCTIVAL FOLLICLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68040","description":"EXPRESSION CONJUNCTIVAL FOLLICLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENDED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92083","description":"EXTENDED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENDED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92083","description":"EXTENDED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE RETINOPATHY 1 OR GT  SESS PRETERM INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67229","description":"EXTENSIVE RETINOPATHY 1 OR GT  SESS PRETERM INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE RETINOPATHY 1 OR GT  SESS PRETERM INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67229","description":"EXTENSIVE RETINOPATHY 1 OR GT  SESS PRETERM INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59412","description":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59412","description":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL COUNTERPULSATION PER TREATMENT SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0166","description":"EXTERNAL COUNTERPULSATION PER TREATMENT SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL COUNTERPULSATION PER TREATMENT SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0166","description":"EXTERNAL COUNTERPULSATION PER TREATMENT SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48510","description":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48510","description":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93242","description":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93242","description":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93244","description":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93244","description":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93243","description":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93243","description":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93246","description":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93246","description":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93248","description":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93248","description":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93245","description":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93245","description":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93247","description":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93247","description":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG SCANNING ANALYSIS REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93226","description":"EXTERNAL ECG SCANNING ANALYSIS REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0424","description":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR ;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0424","description":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR ;","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86235","description":"EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32540","description":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1501.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1577.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32540","description":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1501.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1577.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EZH2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81237","description":"EZH2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EZH2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81237","description":"EZH2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrocochleography","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92584","description":"Electrocochleography","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrocochleography","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92584","description":"Electrocochleography","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrolyte panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80051","description":"Electrolyte panel","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Euglobulin lysis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85360","description":"Euglobulin lysis","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93304","description":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93304","description":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0408","description":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0408","description":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0407","description":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0407","description":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0406","description":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0406","description":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F2 GENE ANALYSIS 20210G  GT A VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81240","description":"F2 GENE ANALYSIS 20210G  GT A VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81241","description":"F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F9 FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81238","description":"F9 FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION AND FITTING OF OCULAR CONFORMER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2628","description":"FABRICATION AND FITTING OF OCULAR CONFORMER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION AND FITTING OF OCULAR CONFORMER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2628","description":"FABRICATION AND FITTING OF OCULAR CONFORMER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL NERVE FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92516","description":"FACIAL NERVE FUNCTION STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL NERVE FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92516","description":"FACIAL NERVE FUNCTION STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR INHIBITOR TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85335","description":"FACTOR INHIBITOR TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7193","description":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7193","description":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX COMPLEX PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7194","description":"FACTOR IX COMPLEX PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX COMPLEX PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7194","description":"FACTOR IX COMPLEX PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7189","description":"FACTOR VIIA 1 MICROGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7189","description":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7189","description":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA-JNCW 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7212","description":"FACTOR VIIA-JNCW 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA-JNCW 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7212","description":"FACTOR VIIA-JNCW 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7190","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7190","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7192","description":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7192","description":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97156","description":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97156","description":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90847","description":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90847","description":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY STABILIZATION SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9482","description":"FAMILY STABILIZATION SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY STABILIZATION SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9482","description":"FAMILY STABILIZATION SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FANCC GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81242","description":"FANCC GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT BY STRIPPER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20920","description":"FASCIA LATA GRAFT BY STRIPPER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT BY STRIPPER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20920","description":"FASCIA LATA GRAFT BY STRIPPER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20922","description":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20922","description":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28060","description":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28060","description":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28062","description":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28062","description":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY FOOT and /TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28008","description":"FASCIOTOMY FOOT and /TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY FOOT and /TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28008","description":"FASCIOTOMY FOOT and /TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY HIP/THIGH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27025","description":"FASCIOTOMY HIP/THIGH ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY HIP/THIGH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27025","description":"FASCIOTOMY HIP/THIGH ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY ILIOTIBIAL OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27305","description":"FASCIOTOMY ILIOTIBIAL OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY ILIOTIBIAL OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27305","description":"FASCIOTOMY ILIOTIBIAL OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR OPEN PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26045","description":"FASCIOTOMY PALMAR OPEN PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR OPEN PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26045","description":"FASCIOTOMY PALMAR OPEN PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26040","description":"FASCIOTOMY PALMAR PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26040","description":"FASCIOTOMY PALMAR PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28062","description":"FASCIOTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26121","description":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26121","description":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26123","description":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26123","description":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26125","description":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26125","description":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FAT DIFFIAL FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82715","description":"FAT DIFFIAL FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT STAIN FECES URINE/RESPIR SECRETIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89125","description":"FAT STAIN FECES URINE/RESPIR SECRETIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT/LIPIDS FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82705","description":"FAT/LIPIDS FECES QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT/LIPIDS FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82710","description":"FAT/LIPIDS FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FATTY ACIDS NONESTERIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82725","description":"FATTY ACIDS NONESTERIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS ALPHA-2 ANTIPLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85410","description":"FBRNLYC FACTORS AND INHIBITORS ALPHA-2 ANTIPLASMIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS PLSMNG ACTIVATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85415","description":"FBRNLYC FACTORS AND INHIBITORS PLSMNG ACTIVATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS PLSMNG AGIC ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85421","description":"FBRNLYC FACTORS AND INHIBITORS PLSMNG AGIC ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITRS PLSMNG XCPT AGIC ASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85420","description":"FBRNLYC FACTORS AND INHIBITRS PLSMNG XCPT AGIC ASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FECAL MICROBIOTA LIVE - JSLM 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1440","description":"FECAL MICROBIOTA LIVE - JSLM 1 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FECAL MICROBIOTA LIVE - JSLM 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1440","description":"FECAL MICROBIOTA LIVE - JSLM 1 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81507","description":"FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76818","description":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76818","description":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76819","description":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76819","description":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81420","description":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONTRACTION STRESS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59020","description":"FETAL CONTRACTION STRESS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONTRACTION STRESS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59020","description":"FETAL CONTRACTION STRESS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59074","description":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59074","description":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY FLUORESCENCE POLARIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83663","description":"FETAL LUNG MATURITY FLUORESCENCE POLARIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY FOAM STABILITY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83662","description":"FETAL LUNG MATURITY FOAM STABILITY TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY LAMELLAR BODY DENSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83664","description":"FETAL LUNG MATURITY LAMELLAR BODY DENSITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83661","description":"FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59050","description":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59050","description":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59051","description":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59051","description":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74713","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74713","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74712","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74712","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL NONSTRESS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59025","description":"FETAL NONSTRESS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL NONSTRESS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59025","description":"FETAL NONSTRESS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SCALP BLOOD SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59030","description":"FETAL SCALP BLOOD SAMPLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SCALP BLOOD SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59030","description":"FETAL SCALP BLOOD SAMPLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59076","description":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59076","description":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59072","description":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59072","description":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETOSCOPIC LASER THERAPY FOR TREATMENT-TTTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2411","description":"FETOSCOPIC LASER THERAPY FOR TREATMENT-TTTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FETOSCOPIC LASER THERAPY FOR TREATMENT-TTTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2411","description":"FETOSCOPIC LASER THERAPY FOR TREATMENT-TTTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85378","description":"FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85379","description":"FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85380","description":"FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85370","description":"FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85362","description":"FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85366","description":"FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOGEN ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85384","description":"FIBRINOGEN ACTIVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOGEN ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85385","description":"FIBRINOGEN ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP and REPOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85390","description":"FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP and REPOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOLYTIC FACTORS  AND  INHIBITORS PLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85400","description":"FIBRINOLYTIC FACTORS  AND  INHIBITORS PLASMIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILGRASTIM G-CSF, 300 MCG, INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1440","description":"FILGRASTIM G-CSF, 300 MCG, INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14350","description":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14350","description":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTERED SPEECH TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92571","description":"FILTERED SPEECH TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTERED SPEECH TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92571","description":"FILTERED SPEECH TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10009","description":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10009","description":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10010","description":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10010","description":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10007","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10007","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10008","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10008","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10011","description":"FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10011","description":"FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/MR GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10012","description":"FINE NEEDLE ASPIRATION BX W/MR GDN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/MR GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10012","description":"FINE NEEDLE ASPIRATION BX W/MR GDN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10021","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10021","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10004","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10004","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10005","description":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10005","description":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10006","description":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10006","description":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67415","description":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67415","description":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46200","description":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46200","description":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92071","description":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92071","description":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57160","description":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57160","description":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92072","description":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92072","description":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MNGT OF KERATOCONUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92072","description":"FITTING CONTACT LENS FOR MNGT OF KERATOCONUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING/ORIENTATION/CHECKING OF HEARING AID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5011","description":"FITTING/ORIENTATION/CHECKING OF HEARING AID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING/ORIENTATION/CHECKING OF HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5011","description":"FITTING/ORIENTATION/CHECKING OF HEARING AID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54620","description":"FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54620","description":"FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FIXED WING AIR MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0435","description":"FIXED WING AIR MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15740","description":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15740","description":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLAP NEUROVASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15750","description":"FLAP NEUROVASCULAR PEDICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLAP NEUROVASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15750","description":"FLAP NEUROVASCULAR PEDICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD ALLOPATCHHD OR MATRIX HD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4128","description":"FLEXHD ALLOPATCHHD OR MATRIX HD PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD OR ALLOPATCHHD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4128","description":"FLEXHD OR ALLOPATCHHD PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD OR ALLOPATCHHD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4128","description":"FLEXHD OR ALLOPATCHHD PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92614","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92614","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92612","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92612","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92616","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92616","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25316","description":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25316","description":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25315","description":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25315","description":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24330","description":"FLEXOR-PLASTY ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24330","description":"FLEXOR-PLASTY ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24331","description":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24331","description":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88182","description":"FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88184","description":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88185","description":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPJ 2-8 MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88187","description":"FLOW CYTOMETRY INTERPJ 2-8 MARKERS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPJ 9-15 MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88188","description":"FLOW CYTOMETRY INTERPJ 9-15 MARKERS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPRETATION 16 OR GT  MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88189","description":"FLOW CYTOMETRY INTERPRETATION 16 OR GT  MARKERS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81245","description":"FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81246","description":"FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77003","description":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77003","description":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92230","description":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92230","description":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ICG ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92242","description":"FLUORESCEIN ICG ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92242","description":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92242","description":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86255","description":"FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86256","description":"FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77001","description":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77001","description":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77002","description":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77002","description":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76000","description":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76000","description":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81243","description":"FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81243","description":"FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81244","description":"FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15731","description":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15731","description":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FORESKN MANJ W/LSS PREPUTIAL ADS and STRETCHING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54450","description":"FORESKN MANJ W/LSS PREPUTIAL ADS and STRETCHING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORESKN MANJ W/LSS PREPUTIAL ADS and STRETCHING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54450","description":"FORESKN MANJ W/LSS PREPUTIAL ADS and STRETCHING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20973","description":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2625.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2657.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2756.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2790.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20973","description":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2625.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2657.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2756.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2790.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30930","description":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30930","description":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRAMES PURCHASES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2020","description":"FRAMES PURCHASES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRAMES PURCHASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2020","description":"FRAMES PURCHASES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15758","description":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2083.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15758","description":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2083.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43496","description":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1895.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1990.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43496","description":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1895.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1990.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15756","description":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2005.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2106.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15756","description":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2005.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2106.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49906","description":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1922.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49906","description":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1922.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20969","description":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2379.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2391.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2498.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2510.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20969","description":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2379.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2391.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2498.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2510.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20970","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2492.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2525.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2617.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2651.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20970","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2492.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2525.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2617.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2651.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20972","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2485.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2517.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2610.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2643.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20972","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2485.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2517.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2610.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2643.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15757","description":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1992.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2092.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15757","description":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1992.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2092.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41520","description":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41520","description":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENULOTOMY PENIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54164","description":"FRENULOTOMY PENIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENULOTOMY PENIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54164","description":"FRENULOTOMY PENIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FROZEN PLASMA DONOR RETESTED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9060","description":"FRESH FROZEN PLASMA DONOR RETESTED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FROZEN PLASMA DONOR RETESTED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9060","description":"FRESH FROZEN PLASMA DONOR RETESTED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FRZN PLASMA BETWN 8-24 HR CLCT EA UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9059","description":"FRESH FRZN PLASMA BETWN 8-24 HR CLCT EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FRZN PLASMA BETWN 8-24 HR CLCT EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9059","description":"FRESH FRZN PLASMA BETWN 8-24 HR CLCT EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FRZN PLASMA FRZN WITHIN 8 HRS CLCT EA UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9017","description":"FRESH FRZN PLASMA FRZN WITHIN 8 HRS CLCT EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FRZN PLASMA FRZN WITHIN 8 HRS CLCT EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9017","description":"FRESH FRZN PLASMA FRZN WITHIN 8 HRS CLCT EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15574","description":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15574","description":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15572","description":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15572","description":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15570","description":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15570","description":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15576","description":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15576","description":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66155","description":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66155","description":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66170","description":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66170","description":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66150","description":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66150","description":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66172","description":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1287.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1352.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66172","description":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1287.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1352.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66160","description":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66160","description":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15240","description":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15240","description":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15240","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15241","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15241","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15260","description":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15260","description":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15241","description":"FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82731","description":"FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92273","description":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92273","description":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92250","description":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92250","description":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26820","description":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26820","description":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Factor inhibitor test","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85335","description":"Factor inhibitor test","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PC GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81250","description":"G6PC GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PD GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81247","description":"G6PD GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PD GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81249","description":"G6PD GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PD GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81248","description":"G6PD GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82775","description":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82776","description":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82787","description":"GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94727","description":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94727","description":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT and V","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94727","description":"GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT and V","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD O2 SATURATION ONLY DIRECT MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82810","description":"GASES BLOOD O2 SATURATION ONLY DIRECT MEAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82805","description":"GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD PH ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82800","description":"GASES BLOOD PH ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC ACID ANALYIS W/PH EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82930","description":"GASTRIC ACID ANALYIS W/PH EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78264","description":"GASTRIC EMPTYING IMAGING STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78264","description":"GASTRIC EMPTYING IMAGING STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78265","description":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78265","description":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78265","description":"GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43754","description":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43754","description":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43755","description":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43755","description":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43753","description":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43753","description":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MOTILITY MANOMETRIC STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91020","description":"GASTRIC MOTILITY MANOMETRIC STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MOTILITY MANOMETRIC STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91020","description":"GASTRIC MOTILITY MANOMETRIC STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MUCOSA IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78261","description":"GASTRIC MUCOSA IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43842","description":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43842","description":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43846","description":"GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43847","description":"GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1594.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1674.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43842","description":"GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43845","description":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1727.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1813.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43845","description":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1727.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1813.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIN AFTER SECRETIN STIMULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82938","description":"GASTRIN AFTER SECRETIN STIMULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27687","description":"GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27687","description":"GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43810","description":"GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43810","description":"GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91034","description":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91034","description":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91037","description":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91037","description":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91035","description":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91035","description":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAGEAL REFLUX STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78262","description":"GASTROESOPHAGEAL REFLUX STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAGEAL REFLUX STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78262","description":"GASTROESOPHAGEAL REFLUX STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL PROTEIN LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78282","description":"GASTROINTESTINAL PROTEIN LOSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL PROTEIN LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78282","description":"GASTROINTESTINAL PROTEIN LOSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91111","description":"GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/O VAGOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43820","description":"GASTROJEJUNOSTOMY W/O VAGOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1246.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/O VAGOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43820","description":"GASTROJEJUNOSTOMY W/O VAGOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1246.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43825","description":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1216.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43825","description":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1216.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43840","description":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1199.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1259.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43840","description":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1199.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1259.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43831","description":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43831","description":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43832","description":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43832","description":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43830","description":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43830","description":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN NEONATAL FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43831","description":"GASTROSTOMY OPN NEONATAL FEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN W/CONSTJ GSTR TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43832","description":"GASTROSTOMY OPN W/CONSTJ GSTR TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43830","description":"GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43500","description":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43500","description":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43502","description":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1345.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43502","description":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1345.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43501","description":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1193.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43501","description":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1193.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81251","description":"GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81450","description":"GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51 OR GT  GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81455","description":"GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51 OR GT  GEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2697.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL HEALTH PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80050","description":"GENERAL HEALTH PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3800","description":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3800","description":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR RETINOBLASTOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3841","description":"GENETIC TESTING FOR RETINOBLASTOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR RETINOBLASTOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3841","description":"GENETIC TESTING FOR RETINOBLASTOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81443","description":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2262.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81443","description":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2262.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3842","description":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3842","description":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3846","description":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3846","description":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY 2 OR GT  SLIDING OSTEOTOMIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21122","description":"GENIOPLASTY 2 OR GT  SLIDING OSTEOTOMIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21120","description":"GENIOPLASTY AUGMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21120","description":"GENIOPLASTY AUGMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21122","description":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21122","description":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21121","description":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21121","description":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81427","description":"GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2159.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81425","description":"GENOME SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4648.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81426","description":"GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2503.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI ENDOSCOPIC US S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76975","description":"GI ENDOSCOPIC US S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI ENDOSCOPIC US S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76975","description":"GI ENDOSCOPIC US S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91110","description":"GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43361","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2184.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2293.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2374.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2493.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43361","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2184.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2293.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2374.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2493.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43360","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1957.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2055.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43360","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1800.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1890.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1957.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2055.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL COLON I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91113","description":"GI TRACT IMAGING INTRALUMINAL COLON I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL COLON I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91113","description":"GI TRACT IMAGING INTRALUMINAL COLON I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91111","description":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91111","description":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRANSIT  and  PRES MEAS WIRELESS CAPSULE W/INTERP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91112","description":"GI TRANSIT  and  PRES MEAS WIRELESS CAPSULE W/INTERP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1410.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRANSIT  and  PRES MEAS WIRELESS CAPSULE W/INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91112","description":"GI TRANSIT  and  PRES MEAS WIRELESS CAPSULE W/INTERP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1410.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91110","description":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91110","description":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECTOMY EXC GINGIVA EACH QUADRANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41820","description":"GINGIVECTOMY EXC GINGIVA EACH QUADRANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECTOMY EXC GINGIVA EACH QUADRANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41820","description":"GINGIVECTOMY EXC GINGIVA EACH QUADRANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41872","description":"GINGIVOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41872","description":"GINGIVOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GJB2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81252","description":"GJB2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GJB2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81253","description":"GJB2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GJB6 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81254","description":"GJB6 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5070","description":"GLASSES AIR CONDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5080","description":"GLASSES BONE CONDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86258","description":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86258","description":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY  LT ONE-HALF TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41120","description":"GLOSSECTOMY  LT ONE-HALF TONGUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY  LT ONE-HALF TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41120","description":"GLOSSECTOMY  LT ONE-HALF TONGUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY HEMIGLOSSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41130","description":"GLOSSECTOMY HEMIGLOSSECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY HEMIGLOSSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41130","description":"GLOSSECTOMY HEMIGLOSSECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41135","description":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1995.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41135","description":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1995.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41145","description":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2409.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2529.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41145","description":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2409.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2529.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41140","description":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2009.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41140","description":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2009.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41153","description":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2097.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2202.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41153","description":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2097.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2202.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41155","description":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2613.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2744.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41155","description":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2613.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2744.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41150","description":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1927.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2024.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41150","description":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1927.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2024.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82962","description":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82955","description":"GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82960","description":"GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE BLOOD REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82948","description":"GLUCOSE BLOOD REAGENT STRIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE BODY FLUID OTHER THAN BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82945","description":"GLUCOSE BODY FLUID OTHER THAN BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE POST GLUCOSE DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82950","description":"GLUCOSE POST GLUCOSE DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82947","description":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82947","description":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82952","description":"GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE PANEL INSULINOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80422","description":"GLUCOSE TOLERANCE PANEL INSULINOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80424","description":"GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82946","description":"GLUCOSE TOLERANCE TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82951","description":"GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84704","description":"GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84703","description":"GONADOTROPIN CHORIONIC QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84702","description":"GONADOTROPIN CHORIONIC QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN FOLLICLE STIMULATING HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83001","description":"GONADOTROPIN FOLLICLE STIMULATING HORMONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN LUTEINIZING HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83002","description":"GONADOTROPIN LUTEINIZING HORMONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN RELEASING HORMONE STIMJ PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80426","description":"GONADOTROPIN RELEASING HORMONE STIMJ PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONIOSCOPY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92020","description":"GONIOSCOPY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONIOSCOPY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92020","description":"GONIOSCOPY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65820","description":"GONIOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GONIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65820","description":"GONIOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4132","description":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4132","description":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4133","description":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4133","description":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21215","description":"GRAFT BONE MANDIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3522.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3625.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3698.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3807.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21215","description":"GRAFT BONE MANDIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3522.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3625.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3698.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3807.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21210","description":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1540.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1617.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1637.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21210","description":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1540.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1617.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1637.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15760","description":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15760","description":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT DERMA-FAT-FASCIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15770","description":"GRAFT DERMA-FAT-FASCIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT DERMA-FAT-FASCIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15770","description":"GRAFT DERMA-FAT-FASCIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21235","description":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21235","description":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15840","description":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15840","description":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15841","description":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1566.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1645.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15841","description":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1566.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1645.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21230","description":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21230","description":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46753","description":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46753","description":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15773","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15773","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15771","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15771","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15774","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15774","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15772","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15772","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15769","description":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15769","description":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRANISETRON HCL 1 MG ORL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0166","description":"GRANISETRON HCL 1 MG ORL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRANISETRON HCL 1 MG ORL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0166","description":"GRANISETRON HCL 1 MG ORL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRANULOCYTES PHERESIS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9050","description":"GRANULOCYTES PHERESIS EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1392.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRANULOCYTES PHERESIS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9050","description":"GRANULOCYTES PHERESIS EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1392.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15845","description":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":939.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15845","description":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":939.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15842","description":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2370.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2488.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15842","description":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2370.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2488.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GROUND MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0425","description":"GROUND MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP ADAPTIVE BHV TX BY PROTOCOL TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97154","description":"GROUP ADAPTIVE BHV TX BY PROTOCOL TECH EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP ADAPTIVE BHV TX BY PROTOCOL TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97154","description":"GROUP ADAPTIVE BHV TX BY PROTOCOL TECH EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90853","description":"GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90853","description":"GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE HUMAN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86277","description":"GROWTH HORMONE HUMAN ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80428","description":"GROWTH HORMONE STIMULATION PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80430","description":"GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH STIMULATION EXPRESSED GENE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83006","description":"GROWTH STIMULATION EXPRESSED GENE 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97158","description":"GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97158","description":"GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78266","description":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78266","description":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV OPN RMVL  AND  RPLCMT SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43888","description":"GSTR RSTCV OPN RMVL  AND  RPLCMT SUBQ PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43888","description":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43888","description":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43886","description":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43886","description":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43887","description":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43887","description":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43846","description":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43846","description":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43847","description":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1594.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1674.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43847","description":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1594.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1674.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43843","description":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43843","description":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43843","description":"GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78266","description":"GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43634","description":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1869.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1962.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43634","description":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1869.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1962.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43631","description":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1342.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43631","description":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1342.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43632","description":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1880.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43632","description":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1880.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43633","description":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1778.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43633","description":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1778.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43620","description":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43620","description":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43622","description":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2031.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43622","description":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2031.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43621","description":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2098.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43621","description":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2098.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43510","description":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43510","description":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastric mucosa imaging","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78261","description":"Gastric mucosa imaging","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastric mucosa imaging","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78261","description":"Gastric mucosa imaging","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Glasses air conduction","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5070","description":"Glasses air conduction","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Glasses air conduction","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5070","description":"Glasses air conduction","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Glasses bone conduction","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5080","description":"Glasses bone conduction","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Glasses bone conduction","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5080","description":"Glasses bone conduction","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28291","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28291","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28289","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28289","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99001","description":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99001","description":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99000","description":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99000","description":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35572","description":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35572","description":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15040","description":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15040","description":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35600","description":"HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35500","description":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35500","description":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81257","description":"HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81269","description":"HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81259","description":"HBA1/HBA2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81258","description":"HBA1/HBA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81361","description":"HBB COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81363","description":"HBB DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81364","description":"HBB FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81362","description":"HBB KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX  GT 12 CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77772","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX  GT 12 CHANNELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX  GT 12 CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77772","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX  GT 12 CHANNELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77770","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77770","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77771","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77771","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SK SRF BRCHYTX LES  GT 2CM and 2CHAN/MLT LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77768","description":"HDR RDNCL SK SRF BRCHYTX LES  GT 2CM and 2CHAN/MLT LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SK SRF BRCHYTX LES  GT 2CM and 2CHAN/MLT LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77768","description":"HDR RDNCL SK SRF BRCHYTX LES  GT 2CM and 2CHAN/MLT LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77767","description":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77767","description":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEADSET/HEADPIECE COCHLEAR IMPLANT DEVICE REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8615","description":"HEADSET/HEADPIECE COCHLEAR IMPLANT DEVICE REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEADSET/HEADPIECE COCHLEAR IMPLANT DEVICE REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8615","description":"HEADSET/HEADPIECE COCHLEAR IMPLANT DEVICE REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96156","description":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96156","description":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96167","description":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96167","description":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96168","description":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96168","description":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96164","description":"HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96164","description":"HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96165","description":"HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96165","description":"HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96158","description":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96158","description":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96159","description":"HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96159","description":"HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5248","description":"HEARING AID ANALOG BINAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5248","description":"HEARING AID ANALOG BINAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5249","description":"HEARING AID ANALOG BINAURAL ITC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5249","description":"HEARING AID ANALOG BINAURAL ITC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5242","description":"HEARING AID ANALOG MONAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5242","description":"HEARING AID ANALOG MONAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5243","description":"HEARING AID ANALOG MONAURAL ITC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5243","description":"HEARING AID ANALOG MONAURAL ITC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID BILATERAL BODY WORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5100","description":"HEARING AID BILATERAL BODY WORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID BILATERAL BODY WORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5100","description":"HEARING AID BILATERAL BODY WORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5230","description":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5230","description":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5190","description":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5190","description":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5258","description":"HEARING AID DIGITAL BINAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5258","description":"HEARING AID DIGITAL BINAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5260","description":"HEARING AID DIGITAL BINAURAL ITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5260","description":"HEARING AID DIGITAL BINAURAL ITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5254","description":"HEARING AID DIGITAL MONAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5254","description":"HEARING AID DIGITAL MONAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5255","description":"HEARING AID DIGITAL MONAURAL ITC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5255","description":"HEARING AID DIGITAL MONAURAL ITC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5256","description":"HEARING AID DIGITAL MONAURAL ITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5256","description":"HEARING AID DIGITAL MONAURAL ITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5253","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5253","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5252","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5252","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5250","description":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5250","description":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5251","description":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5251","description":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5247","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5247","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5244","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5244","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5245","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5245","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5246","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5246","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5263","description":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5263","description":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5262","description":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5262","description":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID FITTING SERVICES 1ST 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92634","description":"HEARING AID FITTING SERVICES 1ST 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID FITTING SERVICES 1ST 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92634","description":"HEARING AID FITTING SERVICES 1ST 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID FITTING SERVICES EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92635","description":"HEARING AID FITTING SERVICES EA ADDL 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID FITTING SERVICES EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92635","description":"HEARING AID FITTING SERVICES EA ADDL 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MEAS VERIF W/PROBE MICROPHONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92639","description":"HEARING AID MEAS VERIF W/PROBE MICROPHONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MEAS VERIF W/PROBE MICROPHONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92639","description":"HEARING AID MEAS VERIF W/PROBE MICROPHONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5030","description":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5030","description":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5040","description":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5040","description":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5050","description":"HEARING AID MONAURAL IN THE EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5050","description":"HEARING AID MONAURAL IN THE EAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID POST-FITTING F-UP SVC 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92636","description":"HEARING AID POST-FITTING F-UP SVC 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID POST-FITTING F-UP SVC 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92636","description":"HEARING AID POST-FITTING F-UP SVC 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID POST-FITTING F-UP SVC EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92637","description":"HEARING AID POST-FITTING F-UP SVC EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID POST-FITTING F-UP SVC EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92637","description":"HEARING AID POST-FITTING F-UP SVC EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID SELECTION SERVICES 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92631","description":"HEARING AID SELECTION SERVICES 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID SELECTION SERVICES 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92631","description":"HEARING AID SELECTION SERVICES 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID SELECTION SERVICES EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92632","description":"HEARING AID SELECTION SERVICES EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID SELECTION SERVICES EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92632","description":"HEARING AID SELECTION SERVICES EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID/ALD/SUPP/ACCESS NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5267","description":"HEARING AID/ALD/SUPP/ACCESS NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID/ALD/SUPP/ACCESS NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5267","description":"HEARING AID/ALD/SUPP/ACCESS NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING DEVICE VERIFICATION ELECTROACOUSTIC ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92641","description":"HEARING DEVICE VERIFICATION ELECTROACOUSTIC ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING DEVICE VERIFICATION ELECTROACOUSTIC ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92641","description":"HEARING DEVICE VERIFICATION ELECTROACOUSTIC ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.195,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33945","description":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4187.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4397.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33945","description":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4187.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4397.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33935","description":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4234.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4445.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33935","description":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4234.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4445.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUALITATIVE ANY ANALYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83015","description":"HEAVY METAL QUALITATIVE ANY ANALYTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUALITATIVE ANY NUMBER OF ANALYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83015","description":"HEAVY METAL QUALITATIVE ANY NUMBER OF ANALYTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUANTIATIVE EACH NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83018","description":"HEAVY METAL QUANTIATIVE EACH NES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUANTITATIVE EACH NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83018","description":"HEAVY METAL QUANTITATIVE EACH NES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEINZ BODIES DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85441","description":"HEINZ BODIES DIRECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85445","description":"HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMAGGLUTINATION INHIBITION TEST HAI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86280","description":"HEMAGGLUTINATION INHIBITION TEST HAI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMATOLYMPHOID NEO/DO GSAP 5-50 RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81451","description":"HEMATOLYMPHOID NEO/DO GSAP 5-50 RNA ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMATOLYMPHOID NEO/DO GSAP 5-50 RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81451","description":"HEMATOLYMPHOID NEO/DO GSAP 5-50 RNA ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMATOLYMPHOID NEO/DO GSAP 5-50DNA/DNA and RNA ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81450","description":"HEMATOLYMPHOID NEO/DO GSAP 5-50DNA/DNA and RNA ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIARTHROPLASTY HIP PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27125","description":"HEMIARTHROPLASTY HIP PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIARTHROPLASTY HIP PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27125","description":"HEMIARTHROPLASTY HIP PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20933","description":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20933","description":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIEPIPHYSEAL ARREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24470","description":"HEMIEPIPHYSEAL ARREST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIEPIPHYSEAL ARREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24470","description":"HEMIEPIPHYSEAL ARREST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28160","description":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28160","description":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS ACCESS FLOW STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90940","description":"HEMODIALYSIS ACCESS FLOW STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS ACCESS FLOW STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90940","description":"HEMODIALYSIS ACCESS FLOW STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90935","description":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90935","description":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90937","description":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90937","description":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83026","description":"HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN F FETAL CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83030","description":"HEMOGLOBIN F FETAL CHEMICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN F FETAL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83033","description":"HEMOGLOBIN F FETAL QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83021","description":"HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83020","description":"HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN GLYCOSYLATED A1C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83036","description":"HEMOGLOBIN GLYCOSYLATED A1C","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN METHEMOGLOBIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83045","description":"HEMOGLOBIN METHEMOGLOBIN QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83050","description":"HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83051","description":"HEMOGLOBIN PLASMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83060","description":"HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN THERMOLABILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83065","description":"HEMOGLOBIN THERMOLABILE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN UNSTABLE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83068","description":"HEMOGLOBIN UNSTABLE SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83069","description":"HEMOGLOBIN URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSIN ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85475","description":"HEMOLYSIN ACID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSINS AND AGGLUTININS AUTO SCREEN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86940","description":"HEMOLYSINS AND AGGLUTININS AUTO SCREEN EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSINS AND AGGLUTININS INCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86941","description":"HEMOLYSINS AND AGGLUTININS INCUBATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOPERFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90997","description":"HEMOPERFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46257","description":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46257","description":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46260","description":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46260","description":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46221","description":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46221","description":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46255","description":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46255","description":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46250","description":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46250","description":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90759","description":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90759","description":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.494,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90632","description":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90632","description":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85520","description":"HEPARIN ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85525","description":"HEPARIN NEUTRALIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN-PROTAMINE TOLERANCE TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85530","description":"HEPARIN-PROTAMINE TOLERANCE TST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75889","description":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75889","description":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75891","description":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75891","description":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47400","description":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1891.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1985.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47400","description":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1891.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1985.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47120","description":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2055.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2158.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47120","description":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2055.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2158.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47125","description":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2702.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2837.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47125","description":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2702.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2837.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47130","description":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2899.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3044.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47130","description":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2899.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3044.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47122","description":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2999.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3149.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47122","description":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2999.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3149.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATIC FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80076","description":"HEPATIC FUNCTION PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90636","description":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90636","description":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A ANTIBODY HAAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86708","description":"HEPATITIS A ANTIBODY HAAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS ANTIBODY HAAB IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86709","description":"HEPATITIS ANTIBODY HAAB IGM ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.406,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86705","description":"HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B CORE ANTIBODY HBCAB TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86704","description":"HEPATITIS B CORE ANTIBODY HBCAB TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90371","description":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90371","description":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SCREENING IN NON-PREG HIGH RISK IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0499","description":"HEPATITIS B SCREENING IN NON-PREG HIGH RISK IND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SCREENING IN NON-PREG HIGH RISK IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0499","description":"HEPATITIS B SCREENING IN NON-PREG HIGH RISK IND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SURF ANTIBODY HBSAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86706","description":"HEPATITIS B SURF ANTIBODY HBSAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SURFACE ANTIGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87467","description":"HEPATITIS B SURFACE ANTIGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SURFACE ANTIGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87467","description":"HEPATITIS B SURFACE ANTIGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS BE ANTIBODY HBEAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86707","description":"HEPATITIS BE ANTIBODY HBEAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86803","description":"HEPATITIS C ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86804","description":"HEPATITIS C ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78227","description":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78227","description":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78226","description":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78226","description":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47010","description":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47010","description":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90743","description":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90743","description":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90739","description":"HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90739","description":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90739","description":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90746","description":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90746","description":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90740","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90740","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90747","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90747","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90744","description":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90744","description":"HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86308","description":"HETEROPHILE ANTIBODIES SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86308","description":"HETEROPHILE ANTIBODIES SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86309","description":"HETEROPHILE ANTIBODIES TITER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86310","description":"HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEXA GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81255","description":"HEXA GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81256","description":"HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83037","description":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83037","description":"HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB-O2 AFFINITY PO2 50 PCT  SATURATION OXYGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82820","description":"HGB-O2 AFFINITY PO2 50 PCT  SATURATION OXYGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85460","description":"HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85461","description":"HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90647","description":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.697,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94452","description":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94452","description":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94452","description":"HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP and REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94453","description":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94453","description":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ W/PHYS I and R W/O2 TITRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94453","description":"HIGH ALTITUDE SIMULATJ W/PHYS I and R W/O2 TITRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77423","description":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77423","description":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP CORE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2325","description":"HIP CORE DECOMPRESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HIP CORE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2325","description":"HIP CORE DECOMPRESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9226","description":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45804.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46107.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49787.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50116.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9226","description":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45804.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46107.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49787.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50116.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV ANTIGEN/ANTIBODY COMBINATION ASSAY SCREENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0475","description":"HIV ANTIGEN/ANTIBODY COMBINATION ASSAY SCREENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV ANTIGEN/ANTIBODY COMBINATION ASSAY SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0475","description":"HIV ANTIGEN/ANTIBODY COMBINATION ASSAY SCREENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING HIGH RESOLUTION COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81379","description":"HLA CLASS I TYPING HIGH RESOLUTION COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81380","description":"HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING LOW RESOLUTION COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81372","description":"HLA CLASS I TYPING LOW RESOLUTION COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81373","description":"HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I and II LOW HLA-A -B -C -DRB1/3/4/5 and DQB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81370","description":"HLA CLASS I and II LOW HLA-A -B -C -DRB1/3/4/5 and DQB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81382","description":"HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81376","description":"HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86825","description":"HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86826","description":"HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I AND II HIGH RESOLUTION HLA-A -B -C AND -DRB1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81378","description":"HLA I AND II HIGH RESOLUTION HLA-A -B -C AND -DRB1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I AND LI LOW RESOLUTION HLA-A -B AND -DRB1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81371","description":"HLA I AND LI LOW RESOLUTION HLA-A -B AND -DRB1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81374","description":"HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81381","description":"HLA I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GRP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81383","description":"HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81375","description":"HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81377","description":"HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING A/B/C MULTIPLE ANTIGENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86813","description":"HLA TYPING A/B/C MULTIPLE ANTIGENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING A/B/C SINGLE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86812","description":"HLA TYPING A/B/C SINGLE ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING DR/DQ MULTIPLE ANTIGENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86817","description":"HLA TYPING DR/DQ MULTIPLE ANTIGENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING DR/DQ SINGLE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86816","description":"HLA TYPING DR/DQ SINGLE ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING LYMPHOCYTE CULTURE MIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86821","description":"HLA TYPING LYMPHOCYTE CULTURE MIXED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99348","description":"HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99349","description":"HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99347","description":"HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99344","description":"HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99341","description":"HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99342","description":"HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99345","description":"HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT RESPIRATORY THERAPY CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99503","description":"HOME VISIT RESPIRATORY THERAPY CARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT RESPIRATORY THERAPY CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99503","description":"HOME VISIT RESPIRATORY THERAPY CARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99350","description":"HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99350","description":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99348","description":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99349","description":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99347","description":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99345","description":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99342","description":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99344","description":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99341","description":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOMOGENIZATION TISSUE CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87176","description":"HOMOGENIZATION TISSUE CULTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL DISCHARGE DAY MANAGEMENT  GT  30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99239","description":"HOSPITAL DISCHARGE DAY MANAGEMENT  GT  30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99238","description":"HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99236","description":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99236","description":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99235","description":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99235","description":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99234","description":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99234","description":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99239","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99239","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99238","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99238","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81105","description":"HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-15 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81112","description":"HPA-15 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-2 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81106","description":"HPA-2 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81107","description":"HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81108","description":"HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81109","description":"HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81110","description":"HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81111","description":"HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83009","description":"HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83013","description":"HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI DRUG ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83014","description":"HPYLORI DRUG ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46258","description":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46258","description":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46262","description":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46262","description":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46261","description":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46261","description":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE II PRTBLE MON UNATTENDED MIN 7 CH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0398","description":"HST W/TYPE II PRTBLE MON UNATTENDED MIN 7 CH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE II PRTBLE MON UNATTENDED MIN 7 CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0398","description":"HST W/TYPE II PRTBLE MON UNATTENDED MIN 7 CH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE III PRTBLE MON UNATTENDED MIN 4 CH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0399","description":"HST W/TYPE III PRTBLE MON UNATTENDED MIN 4 CH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE III PRTBLE MON UNATTENDED MIN 4 CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0399","description":"HST W/TYPE III PRTBLE MON UNATTENDED MIN 4 CH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0400","description":"HST W/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HST W/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0400","description":"HST W/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN EPIDIDYMIS PROTEIN 4 (HE4)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86305","description":"HUMAN EPIDIDYMIS PROTEIN 4 (HE4)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALOMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4117","description":"HYALOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALOMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4117","description":"HYALOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7326","description":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7326","description":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7321","description":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7321","description":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7322","description":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7322","description":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7324","description":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7324","description":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7325","description":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7325","description":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7318","description":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7318","description":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7323","description":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7323","description":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7328","description":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7328","description":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE HYMOVIS IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7322","description":"HYALURONAN/DERIVATIVE HYMOVIS IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7329","description":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7329","description":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7320","description":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7320","description":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROXYCORTICOSTEROIDS 17","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83491","description":"HYDROXYCORTICOSTEROIDS 17","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYMENOTOMY SIMPLE INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56442","description":"HYMENOTOMY SIMPLE INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYMENOTOMY SIMPLE INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56442","description":"HYMENOTOMY SIMPLE INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYOID MYOTOMY  AND  SUSPENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21685","description":"HYOID MYOTOMY  AND  SUSPENSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYOID MYOTOMY  AND  SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21685","description":"HYOID MYOTOMY  AND  SUSPENSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61548","description":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1470.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61548","description":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1470.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROPLASTY RPR UTERINE ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58540","description":"HYSTEROPLASTY RPR UTERINE ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROPLASTY RPR UTERINE ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58540","description":"HYSTEROPLASTY RPR UTERINE ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58520","description":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58520","description":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY RUPTURED UTERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59350","description":"HYSTERORRHAPHY RUPTURED UTERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY RUPTURED UTERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59350","description":"HYSTERORRHAPHY RUPTURED UTERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSALPINGOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74740","description":"HYSTEROSALPINGOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSALPINGOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74740","description":"HYSTEROSALPINGOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58565","description":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1674.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1820.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58565","description":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1674.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1820.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58558","description":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58558","description":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58555","description":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58555","description":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58560","description":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58560","description":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY ENDOMETRIAL ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58563","description":"HYSTEROSCOPY ENDOMETRIAL ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1411.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["10"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["10"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1496.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1571.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1735.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY ENDOMETRIAL ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58563","description":"HYSTEROSCOPY ENDOMETRIAL ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1411.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["10"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["10"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1496.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1571.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1735.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58559","description":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58559","description":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58562","description":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58562","description":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58561","description":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58561","description":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59100","description":"HYSTEROTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59100","description":"HYSTEROTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90750","description":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90750","description":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemoperfusion","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90997","description":"Hemoperfusion","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemoperfusion","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90997","description":"Hemoperfusion","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Heparin assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85520","description":"Heparin assay","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Heparin neutralization","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85525","description":"Heparin neutralization","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatic Function Panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80076","description":"Hepatic Function Panel","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D ABSCESS PERITONSILLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42700","description":"I AND D ABSCESS PERITONSILLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D ABSCESS PERITONSILLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42700","description":"I AND D ABSCESS PERITONSILLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28002","description":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28002","description":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28003","description":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28003","description":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D OF BARTHOLINS GLAND ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56420","description":"I AND D OF BARTHOLINS GLAND ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D OF BARTHOLINS GLAND ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56420","description":"I AND D OF BARTHOLINS GLAND ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PENIS DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54015","description":"I AND D PENIS DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PENIS DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54015","description":"I AND D PENIS DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PERIANAL ABSCESS SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46050","description":"I AND D PERIANAL ABSCESS SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PERIANAL ABSCESS SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46050","description":"I AND D PERIANAL ABSCESS SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SHOULDER INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23031","description":"I AND D SHOULDER INFECTED BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SHOULDER INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23031","description":"I AND D SHOULDER INFECTED BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SUBMUCOSAL ABSCESS RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45005","description":"I AND D SUBMUCOSAL ABSCESS RECTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SUBMUCOSAL ABSCESS RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45005","description":"I AND D SUBMUCOSAL ABSCESS RECTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D THYROGLOSSAL DUCT CYST INFECTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60000","description":"I AND D THYROGLOSSAL DUCT CYST INFECTED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D THYROGLOSSAL DUCT CYST INFECTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60000","description":"I AND D THYROGLOSSAL DUCT CYST INFECTED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57023","description":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57023","description":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42725","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42725","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27301","description":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27301","description":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21501","description":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21501","description":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22010","description":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22010","description":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22015","description":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22015","description":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21502","description":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21502","description":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21502","description":"I and D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45020","description":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45020","description":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54700","description":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54700","description":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D EPIDIDYMIS TSTIS and /SCROTAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54700","description":"I and D EPIDIDYMIS TSTIS and /SCROTAL SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25028","description":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25028","description":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D HEMATOMA SEROMA/FLUID COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10140","description":"I and D HEMATOMA SEROMA/FLUID COLLECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D HEMATOMA SEROMA/FLUID COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10140","description":"I and D HEMATOMA SEROMA/FLUID COLLECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46045","description":"I and D INTRAMURAL IM/ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46045","description":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46045","description":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORCT/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46060","description":"I and D ISCHIORCT/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46040","description":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46040","description":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46060","description":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46060","description":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26991","description":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26991","description":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26990","description":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26990","description":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23030","description":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23030","description":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23930","description":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23930","description":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57022","description":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57022","description":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D VULVA/PERINEAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56405","description":"I and D VULVA/PERINEAL ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D VULVA/PERINEAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56405","description":"I and D VULVA/PERINEAL ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86318","description":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86328","description":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87301","description":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87305","description":"IAAD IA ASPERGILLUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87320","description":"IAAD IA CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87324","description":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOCOCCUS NEOFORMANS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87327","description":"IAAD IA CRYPTOCOCCUS NEOFORMANS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87328","description":"IAAD IA CRYPTOSPORIDIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CYTOMEGALOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87332","description":"IAAD IA CYTOMEGALOVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87336","description":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87337","description":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ESCHERICHIA COLI 0157","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87335","description":"IAAD IA ESCHERICHIA COLI 0157","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA GIARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87329","description":"IAAD IA GIARDIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87341","description":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87340","description":"IAAD IA HEPATITIS B SURFACE ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS BE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87350","description":"IAAD IA HEPATITIS BE ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS DELTA ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87380","description":"IAAD IA HEPATITIS DELTA ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HISTOPLASM CAPSULATUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87385","description":"IAAD IA HISTOPLASM CAPSULATUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87390","description":"IAAD IA HIV-1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1 AG W/HIV-1  and  HIV-2 ANTBDY SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87389","description":"IAAD IA HIV-1 AG W/HIV-1  and  HIV-2 ANTBDY SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87391","description":"IAAD IA HIV-2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87338","description":"IAAD IA HPYLORI STOOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87449","description":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87451","description":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87420","description":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87425","description":"IAAD IA ROTAVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.944,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SHIGA-LIKE TOXIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87427","description":"IAAD IA SHIGA-LIKE TOXIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87430","description":"IAAD IA STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87260","description":"IAADI ADENOVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87265","description":"IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87270","description":"IAADI CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87272","description":"IAADI CRYPTOSPORIDIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87271","description":"IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87267","description":"IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI GIARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87269","description":"IAADI GIARDIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI HERPES SMPLX VIRUS TYPE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87274","description":"IAADI HERPES SMPLX VIRUS TYPE 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI HERPES SMPLX VIRUS TYPE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87273","description":"IAADI HERPES SMPLX VIRUS TYPE 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI INFFLUENZA A VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87276","description":"IAADI INFFLUENZA A VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI INFLUENZA B VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87275","description":"IAADI INFLUENZA B VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI LEGIONELLA PNEUMOPHILA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87278","description":"IAADI LEGIONELLA PNEUMOPHILA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87299","description":"IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI PARAINFLUENZA VIRUS EACH TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87279","description":"IAADI PARAINFLUENZA VIRUS EACH TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI PNEUMOCUSTIS CARINII","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87281","description":"IAADI PNEUMOCUSTIS CARINII","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87300","description":"IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87280","description":"IAADI RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI RUBEOLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87283","description":"IAADI RUBEOLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87285","description":"IAADI TREPONEMA PALLIDUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI VARICELLA ZOSTER VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87290","description":"IAADI VARICELLA ZOSTER VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87809","description":"IAADIADOO ADENOVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87810","description":"IAADIADOO CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87803","description":"IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO HIV1 ANTIGEN W/HIV1  and  HIV2 ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87806","description":"IAADIADOO HIV1 ANTIGEN W/HIV1  and  HIV2 ANTIBODIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO INFLUENZA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87804","description":"IAADIADOO INFLUENZA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO INFLUENZA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87804","description":"IAADIADOO INFLUENZA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO NEISSERIA GONORRHOEAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87850","description":"IAADIADOO NEISSERIA GONORRHOEAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87899","description":"IAADIADOO NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87807","description":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87807","description":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87812","description":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87812","description":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87811","description":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87811","description":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87880","description":"IAADIADOO STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87880","description":"IAADIADOO STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87802","description":"IAADIADOO STREPTOCOCCUS GROUP B","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO TRICHOMONAS VAGINALIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87808","description":"IAADIADOO TRICHOMONAS VAGINALIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87468","description":"IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87468","description":"IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87469","description":"IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87469","description":"IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87471","description":"IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA HENSELAE AND QUINTANA QUANTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87472","description":"IADNA BARTONELLA HENSELAE AND QUINTANA QUANTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87476","description":"IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87475","description":"IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87478","description":"IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87478","description":"IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87481","description":"IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87480","description":"IADNA CANDIDA SPECIES DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87482","description":"IADNA CANDIDA SPECIES QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87486","description":"IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87485","description":"IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87487","description":"IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87491","description":"IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87490","description":"IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87492","description":"IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87494","description":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87494","description":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87496","description":"IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87495","description":"IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87497","description":"IADNA CYTOMEGALOVIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87634","description":"IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA DNA/RNA ZIKA VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87662","description":"IADNA DNA/RNA ZIKA VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87484","description":"IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87484","description":"IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ENTEROVIRUS AMPLIF PROBE  AND  REVRSE TRNSCRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87498","description":"IADNA ENTEROVIRUS AMPLIF PROBE  AND  REVRSE TRNSCRIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87511","description":"IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87510","description":"IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87512","description":"IADNA GARDNERELLA VAGINALIS QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA H PYLORI CLARITHROMYCIN RESIST AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87513","description":"IADNA H PYLORI CLARITHROMYCIN RESIST AMP PRB TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA H PYLORI CLARITHROMYCIN RESIST AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87513","description":"IADNA H PYLORI CLARITHROMYCIN RESIST AMP PRB TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87516","description":"IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87517","description":"IADNA HEPATITIS B VIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C AMPLIFIED PROBE AND REVRSE TRANSCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87521","description":"IADNA HEPATITIS C AMPLIFIED PROBE AND REVRSE TRANSCR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87520","description":"IADNA HEPATITIS C DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87522","description":"IADNA HEPATITIS C QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS D DELTA QUAN W/REV TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87523","description":"IADNA HEPATITIS D DELTA QUAN W/REV TRANSCRIPTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS D DELTA QUAN W/REV TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87523","description":"IADNA HEPATITIS D DELTA QUAN W/REV TRANSCRIPTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87526","description":"IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87525","description":"IADNA HEPATITIS G DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87527","description":"IADNA HEPATITIS G QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87528","description":"IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87529","description":"IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SOMPLX VIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87530","description":"IADNA HERPES SOMPLX VIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87532","description":"IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87531","description":"IADNA HERPES VIRUS-6 DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87533","description":"IADNA HERPES VIRUS-6 QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 AMPLIFIED PROBE  AND  REVERSE TRANSCRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87535","description":"IADNA HIV-1 AMPLIFIED PROBE  AND  REVERSE TRANSCRPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87534","description":"IADNA HIV-1 DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87536","description":"IADNA HIV-1 QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 AMPLIFIED PROBE  AND  REVERSE TRANSCRIPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87538","description":"IADNA HIV-2 AMPLIFIED PROBE  AND  REVERSE TRANSCRIPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87537","description":"IADNA HIV-2 DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87539","description":"IADNA HIV-2 QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HPV SEP RPRT HI-RSK TYP and HI-RSK POOLD RSLTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87626","description":"IADNA HPV SEP RPRT HI-RSK TYP and HI-RSK POOLD RSLTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HPV SEP RPRT HI-RSK TYP and HI-RSK POOLD RSLTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87626","description":"IADNA HPV SEP RPRT HI-RSK TYP and HI-RSK POOLD RSLTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87624","description":"IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87624","description":"IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS LOW-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87623","description":"IADNA HUMAN PAPILLOMAVIRUS LOW-RISK TYPES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS TYPES 16  AND  18 ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87625","description":"IADNA HUMAN PAPILLOMAVIRUS TYPES 16  AND  18 ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA JT SPC PTHGN and RX RESIST GEN MULT AMP PRB26 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87627","description":"IADNA JT SPC PTHGN and RX RESIST GEN MULT AMP PRB26 Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA JT SPC PTHGN and RX RESIST GEN MULT AMP PRB26 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87627","description":"IADNA JT SPC PTHGN and RX RESIST GEN MULT AMP PRB26 Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87541","description":"IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87540","description":"IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87542","description":"IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87564","description":"IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87564","description":"IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87801","description":"IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87800","description":"IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87562","description":"IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87561","description":"IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87560","description":"IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87551","description":"IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87550","description":"IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87552","description":"IADNA MYCOBACTERIA SPECIES QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87556","description":"IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87555","description":"IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87557","description":"IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87563","description":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87563","description":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87581","description":"IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87580","description":"IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87582","description":"IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87591","description":"IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87590","description":"IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87592","description":"IADNA NEISSERIA GONORRHOEAE QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87798","description":"IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS DIRECT PROBE TQ EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87797","description":"IADNA NOS DIRECT PROBE TQ EACH ORGANISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS QUANTIFICATION EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87799","description":"IADNA NOS QUANTIFICATION EACH ORGANISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.41,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA PNEUMOCYSTIS JIROVECII AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87594","description":"IADNA PNEUMOCYSTIS JIROVECII AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA PNEUMOCYSTIS JIROVECII AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87594","description":"IADNA PNEUMOCYSTIS JIROVECII AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 12-25 TARGET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87633","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 12-25 TARGET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 3-5 TARGETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87631","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 3-5 TARGETS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 6-11 TARGETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87632","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 6-11 TARGETS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA S AUREUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87640","description":"IADNA S AUREUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87641","description":"IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87635","description":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87635","description":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87637","description":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87637","description":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87636","description":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87636","description":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87651","description":"IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87650","description":"IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87652","description":"IADNA STREPTOCOCCUS GROUP A QUANTIFICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87653","description":"IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87661","description":"IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87660","description":"IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87507","description":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87506","description":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95028","description":"IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66983","description":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66983","description":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATH ABLATION DISCRETE MECHANISM ARRHYTHMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93655","description":"ICAR CATH ABLATION DISCRETE MECHANISM ARRHYTHMIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATH ABLATION DISCRETE MECHANISM ARRHYTHMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93655","description":"ICAR CATH ABLATION DISCRETE MECHANISM ARRHYTHMIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATHETER ABLATION ARRHYTHMIA ADD ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93655","description":"ICAR CATHETER ABLATION ARRHYTHMIA ADD ON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93650","description":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93650","description":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61703","description":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61703","description":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IDECABTAGENE VICLEUCEL AUTO BCMA DIR CAR-POS TC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2055","description":"IDECABTAGENE VICLEUCEL AUTO BCMA DIR CAR-POS TC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581143.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595386.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDECABTAGENE VICLEUCEL AUTO BCMA DIR CAR-POS TC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2055","description":"IDECABTAGENE VICLEUCEL AUTO BCMA DIR CAR-POS TC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581143.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595386.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDH1 COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81120","description":"IDH1 COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDH2 COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81121","description":"IDH2 COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81261","description":"IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81262","description":"IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@ VARIABLE REGION SOMATIC MUTATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81263","description":"IGH@ VARIABLE REGION SOMATIC MUTATION ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@/BCL2 TLCJ ALYS MBR  and  MCR BP QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81278","description":"IGH@/BCL2 TLCJ ALYS MBR  and  MCR BP QUAL/QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@/BCL2 TLCJ ALYS MBR  and  MCR BP QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81278","description":"IGH@/BCL2 TLCJ ALYS MBR  and  MCR BP QUAL/QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGK@ GENE REARRANGE DETECT ABNORMAL CLONAL POP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81264","description":"IGK@ GENE REARRANGE DETECT ABNORMAL CLONAL POP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.599,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.526,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90662","description":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90662","description":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90656","description":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90656","description":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90658","description":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90658","description":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.649,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.453,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.453,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.637,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IKBKAP GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81260","description":"IKBKAP GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44381","description":"ILEOSCOPY STOMA W/BALLOON DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44381","description":"ILEOSCOPY STOMA W/BALLOON DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44382","description":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44382","description":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44380","description":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44380","description":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44310","description":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44310","description":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4074","description":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4074","description":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90473","description":"IM ADM INTRANSL/ORAL 1 VACCINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90473","description":"IM ADM INTRANSL/ORAL 1 VACCINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL EA VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90474","description":"IM ADM INTRANSL/ORAL EA VACCINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL EA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90474","description":"IM ADM INTRANSL/ORAL EA VACCINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90471","description":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90472","description":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90472","description":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90460","description":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90460","description":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSL PHYS/OTH Q HCP COVID-19 AGE  LT 21 5-15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0315","description":"IM CNSL PHYS/OTH Q HCP COVID-19 AGE  LT 21 5-15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSL PHYS/OTH Q HCP COVID-19 AGE  LT 21 5-15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0315","description":"IM CNSL PHYS/OTH Q HCP COVID-19 AGE  LT 21 5-15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49407","description":"IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49407","description":"IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0339","description":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2497.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2622.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0339","description":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2497.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2622.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0340","description":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1878.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0340","description":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1878.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49405","description":"IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49405","description":"IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10030","description":"IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMBRICATION DIAPHRAGM EVENTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39545","description":"IMBRICATION DIAPHRAGM EVENTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMBRICATION DIAPHRAGM EVENTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39545","description":"IMBRICATION DIAPHRAGM EVENTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92229","description":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92229","description":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92227","description":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92227","description":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92228","description":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92228","description":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49406","description":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49406","description":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10030","description":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10030","description":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88342","description":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88342","description":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88341","description":"IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88344","description":"IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88342","description":"IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88341","description":"IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88344","description":"IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE SINGLE DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE SINGLE DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19340","description":"IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE ADMIN H1N1 IM NASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90470","description":"IMMUNE ADMIN H1N1 IM NASAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE COMPLEX ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86332","description":"IMMUNE COMPLEX ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90284","description":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90284","description":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83516","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83518","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83516","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83519","description":"IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUANTITATIVE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83520","description":"IMMUNOASSAY ANALYTE QUANTITATIVE NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86317","description":"IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86294","description":"IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86316","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86304","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86300","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86301","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86331","description":"IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86329","description":"IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86325","description":"IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOELECTROPHORESIS SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86320","description":"IMMUNOELECTROPHORESIS SERUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86335","description":"IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFIXJ ELECTROPHORESIS SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86334","description":"IMMUNOFIXJ ELECTROPHORESIS SERUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88346","description":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88346","description":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88350","description":"IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88350","description":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOGLOBULIN LIGHT CHAINS FREE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83521","description":"IMMUNOGLOBULIN LIGHT CHAINS FREE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOGLOBULIN LIGHT CHAINS FREE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83521","description":"IMMUNOGLOBULIN LIGHT CHAINS FREE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15778","description":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15778","description":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69729","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69729","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69716","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69716","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69714","description":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69714","description":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65785","description":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1447.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65785","description":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1447.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION NERVE END BONE/MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64787","description":"IMPLANTATION NERVE END BONE/MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION NERVE END BONE/MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64787","description":"IMPLANTATION NERVE END BONE/MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2235","description":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2235","description":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15777","description":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15777","description":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61517","description":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61517","description":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67027","description":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67027","description":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69714","description":"IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62350","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62350","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62351","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62351","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62361","description":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62361","description":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43881","description":"IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43881","description":"IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62362","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62362","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62360","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62360","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21086","description":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1204.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21086","description":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1204.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION FACIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21088","description":"IMPRESSION  AND  PREPARATION FACIAL PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1204.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1300.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1329.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1365.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION FACIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21088","description":"IMPRESSION  AND  PREPARATION FACIAL PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1204.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1300.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1329.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1365.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION INTERIM OBTURATOR PROST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21079","description":"IMPRESSION  AND  PREPARATION INTERIM OBTURATOR PROST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1100.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1223.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1329.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21087","description":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1204.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1300.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1329.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1365.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21087","description":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1204.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1300.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1329.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1365.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21085","description":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21085","description":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21077","description":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1593.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1632.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1943.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21077","description":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1593.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1632.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1943.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21083","description":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1243.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21083","description":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1243.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21084","description":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1351.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1469.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21084","description":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1351.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1469.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPJ DEFINITIVE OBTURATOR PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21080","description":"IMPRESSION  AND  PREPJ DEFINITIVE OBTURATOR PROSTHES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1216.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1340.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1407.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1494.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1530.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1569.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPJ MANDIBULAR RESECTION PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21081","description":"IMPRESSION  AND  PREPJ MANDIBULAR RESECTION PROSTHES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1023.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1330.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1410.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPJ PALATAL AUGMENTATION PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21082","description":"IMPRESSION  AND  PREPJ PALATAL AUGMENTATION PROSTHES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1017.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1360.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21080","description":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1216.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1340.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1407.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1494.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1530.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1569.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21080","description":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1216.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1340.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1407.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1494.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1530.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1569.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21081","description":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1023.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1330.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1410.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21081","description":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1023.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1330.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1410.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21082","description":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1017.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1360.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21082","description":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1017.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1360.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION SURG OBTURATOR PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21076","description":"IMPRESSION AND PREPARATION SURG OBTURATOR PROSTHES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21079","description":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1100.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1223.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1329.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21079","description":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1100.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1223.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1329.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21076","description":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21076","description":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION 1ST PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88365","description":"IN SITU HYBRIDIZATION 1ST PROBE STAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION EA ADDL PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88364","description":"IN SITU HYBRIDIZATION EA ADDL PROBE STAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88366","description":"IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35585","description":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1431.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1502.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35585","description":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1431.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1502.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYP POP-TIBL PRONEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35587","description":"IN-SITU VEIN BYP POP-TIBL PRONEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYP POP-TIBL PRONEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35587","description":"IN-SITU VEIN BYP POP-TIBL PRONEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35583","description":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35583","description":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23935","description":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23935","description":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27303","description":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27303","description":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ CRNL NRV NSTIM ELTRDS  AND  PULSE GENER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64568","description":"INC IMPLTJ CRNL NRV NSTIM ELTRDS  AND  PULSE GENER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64581","description":"INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64580","description":"INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64575","description":"INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62148","description":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62148","description":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10180","description":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10180","description":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10081","description":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10081","description":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10080","description":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10080","description":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10121","description":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10120","description":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10120","description":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  SUBCUTANEOUS PLMT CRANIAL BONE GRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61316","description":"INCISION  AND  SUBCUTANEOUS PLMT CRANIAL BONE GRAF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10061","description":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10061","description":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10060","description":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10060","description":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25031","description":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25031","description":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27603","description":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27603","description":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27604","description":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27604","description":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10121","description":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10121","description":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION ANAL SEPTUM INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46070","description":"INCISION ANAL SEPTUM INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION ANAL SEPTUM INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46070","description":"INCISION ANAL SEPTUM INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44900","description":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44900","description":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE BURSA FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28001","description":"INCISION AND DRAINAGE BURSA FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE BURSA FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28001","description":"INCISION AND DRAINAGE BURSA FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28005","description":"INCISION BONE CORTEX FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28005","description":"INCISION BONE CORTEX FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26034","description":"INCISION BONE CORTEX HAND/FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26034","description":"INCISION BONE CORTEX HAND/FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX PELVIS and /HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26992","description":"INCISION BONE CORTEX PELVIS and /HIP JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX PELVIS and /HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26992","description":"INCISION BONE CORTEX PELVIS and /HIP JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX SHOULDER AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23035","description":"INCISION BONE CORTEX SHOULDER AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX SHOULDER AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23035","description":"INCISION BONE CORTEX SHOULDER AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION CONJUNCTIVA DRAINAGE OF CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68020","description":"INCISION CONJUNCTIVA DRAINAGE OF CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION CONJUNCTIVA DRAINAGE OF CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68020","description":"INCISION CONJUNCTIVA DRAINAGE OF CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25035","description":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25035","description":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP OPENING BONE CORTEX THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21510","description":"INCISION DEEP OPENING BONE CORTEX THORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP OPENING BONE CORTEX THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21510","description":"INCISION DEEP OPENING BONE CORTEX THORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68400","description":"INCISION DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68420","description":"INCISION DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION EXTENSOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25000","description":"INCISION EXTENSOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION EXTENSOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25000","description":"INCISION EXTENSOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION FLEXOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25001","description":"INCISION FLEXOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION FLEXOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25001","description":"INCISION FLEXOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LABIAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40806","description":"INCISION LABIAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LABIAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40806","description":"INCISION LABIAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27607","description":"INCISION LEG/ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27607","description":"INCISION LEG/ANKLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LINGUAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41010","description":"INCISION LINGUAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LINGUAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41010","description":"INCISION LINGUAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION THROMBOSED HEMORRHOID EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46083","description":"INCISION THROMBOSED HEMORRHOID EXTERNAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION THROMBOSED HEMORRHOID EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46083","description":"INCISION THROMBOSED HEMORRHOID EXTERNAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68400","description":"INCISION and DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68400","description":"INCISION and DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68420","description":"INCISION and DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68420","description":"INCISION and DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23931","description":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23931","description":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61316","description":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61316","description":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN  AND  LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN  AND  LID MARGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11107","description":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11107","description":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11106","description":"INCISIONAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11106","description":"INCISIONAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9507","description":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2374.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3288.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9507","description":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2374.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3288.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9542","description":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3046.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3229.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9542","description":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3046.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3229.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0013","description":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0013","description":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92240","description":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92240","description":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59851","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59851","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59852","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59852","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59856","description":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59856","description":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59857","description":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59857","description":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59855","description":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59855","description":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59850","description":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59850","description":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION  AND  EVACUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59841","description":"INDUCED ABORTION DILATION  AND  EVACUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION  AND  EVACUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59841","description":"INDUCED ABORTION DILATION  AND  EVACUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION AND CURETTAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59840","description":"INDUCED ABORTION DILATION AND CURETTAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION AND CURETTAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59840","description":"INDUCED ABORTION DILATION AND CURETTAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93618","description":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93618","description":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0011","description":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0011","description":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87493","description":"INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF ANTIBODY ELISA TECH HIV-1  and /OR HIV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0433","description":"INF ANTIBODY ELISA TECH HIV-1  and /OR HIV-2 SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF ANTIBODY ELISA TECH HIV-1  and /OR HIV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0433","description":"INF ANTIBODY ELISA TECH HIV-1  and /OR HIV-2 SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87502","description":"INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87501","description":"INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87500","description":"INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87905","description":"INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61591","description":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2716.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2851.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61591","description":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2716.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2851.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61590","description":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2667.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2801.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61590","description":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2667.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2801.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 25 PCT  20 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9046","description":"INFUSION ALBUMIN HUMAN 25 PCT  20 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 25 PCT  20 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9046","description":"INFUSION ALBUMIN HUMAN 25 PCT  20 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 25 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9047","description":"INFUSION ALBUMIN HUMAN 25 PCT  50 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 25 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9047","description":"INFUSION ALBUMIN HUMAN 25 PCT  50 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 5 PCT  250 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9045","description":"INFUSION ALBUMIN HUMAN 5 PCT  250 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 5 PCT  250 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9045","description":"INFUSION ALBUMIN HUMAN 5 PCT  250 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 5 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9041","description":"INFUSION ALBUMIN HUMAN 5 PCT  50 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION ALBUMIN HUMAN 5 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9041","description":"INFUSION ALBUMIN HUMAN 5 PCT  50 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION D-5-W 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7070","description":"INFUSION D-5-W 1000 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION D-5-W 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7070","description":"INFUSION D-5-W 1000 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7030","description":"INFUSION NORMAL SALINE SOLUTION 1000 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7030","description":"INFUSION NORMAL SALINE SOLUTION 1000 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION STERILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7040","description":"INFUSION NORMAL SALINE SOLUTION STERILE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION STERILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7040","description":"INFUSION NORMAL SALINE SOLUTION STERILE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.518,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.646,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.646,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.772,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95079","description":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95079","description":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95076","description":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95076","description":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38760","description":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38760","description":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38765","description":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38765","description":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INHIBIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86336","description":"INHIBIN A","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT/SUB PSY CCM 1ST 30 M IN MO OF BH CARE ACTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2214","description":"INIT/SUB PSY CCM 1ST 30 M IN MO OF BH CARE ACTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT/SUB PSY CCM 1ST 30 M IN MO OF BH CARE ACTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2214","description":"INIT/SUB PSY CCM 1ST 30 M IN MO OF BH CARE ACTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99221","description":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99222","description":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99223","description":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99255","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99252","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99253","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99254","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99306","description":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99306","description":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99305","description":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99305","description":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99304","description":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99304","description":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99304","description":"INITIAL NURSING FACILITY CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99305","description":"INITIAL NURSING FACILITY CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99306","description":"INITIAL NURSING FACILITY CARE/DAY 45 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99475","description":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99475","description":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99471","description":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99471","description":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.538,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.227,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99387","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and  GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and  GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99387","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and  GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99384","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99384","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.106,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.819,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99383","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99383","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL TX 1ST DEGREE BURN LOCAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16000","description":"INITIAL TX 1ST DEGREE BURN LOCAL TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL TX 1ST DEGREE BURN LOCAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16000","description":"INITIAL TX 1ST DEGREE BURN LOCAL TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0129","description":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0129","description":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9354","description":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9354","description":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7186","description":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7186","description":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.353,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.871,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1943","description":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1943","description":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3399","description":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2683493.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3399","description":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2683493.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0458","description":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0458","description":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0702","description":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0702","description":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5126","description":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5126","description":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9049","description":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9049","description":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9046","description":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9046","description":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9048","description":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9048","description":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8603","description":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULK AGT DX/HA COPOLYMER IMPL ANAL CNL 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8605","description":"INJ BULK AGT DX/HA COPOLYMER IMPL ANAL CNL 1 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8606","description":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0597","description":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0597","description":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0688","description":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0688","description":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0703","description":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0703","description":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0701","description":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0701","description":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7169","description":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7169","description":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0775","description":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0775","description":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0882","description":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0882","description":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DELANDISTROGENE MOXEPARVOVEC-ROKL PER THR D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1413","description":"INJ DELANDISTROGENE MOXEPARVOVEC-ROKL PER THR D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3590400.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DELANDISTROGENE MOXEPARVOVEC-ROKL PER THR D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1413","description":"INJ DELANDISTROGENE MOXEPARVOVEC-ROKL PER THR D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3590400.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5158","description":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5158","description":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9334","description":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9334","description":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9332","description":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9332","description":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0169","description":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0169","description":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0166","description":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0166","description":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0167","description":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0167","description":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0168","description":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0168","description":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ETRANACOGENE DEZAPARVOVEC-DRLB PER THR DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1411","description":"INJ ETRANACOGENE DEZAPARVOVEC-DRLB PER THR DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3927000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ETRANACOGENE DEZAPARVOVEC-DRLB PER THR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1411","description":"INJ ETRANACOGENE DEZAPARVOVEC-DRLB PER THR DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3927000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7204","description":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7204","description":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7188","description":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7188","description":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7195","description":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7195","description":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1454","description":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1454","description":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9394","description":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9394","description":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.652,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.1,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9196","description":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9196","description":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1611","description":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1611","description":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1573","description":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1573","description":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1571","description":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1571","description":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3472","description":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3472","description":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1720","description":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1720","description":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IBUTILIDE FUMARATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1742","description":"INJ IBUTILIDE FUMARATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IBUTILIDE FUMARATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1742","description":"INJ IBUTILIDE FUMARATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1572","description":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1572","description":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1569","description":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1557","description":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1557","description":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1566","description":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1566","description":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1599","description":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1568","description":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1568","description":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1459","description":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1459","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1557","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1572","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1575","description":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1575","description":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0742","description":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0742","description":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5121","description":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5121","description":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1921","description":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1921","description":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0738","description":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0738","description":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.793,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.808,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.808,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.654,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2272","description":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2272","description":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2281","description":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2281","description":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9028","description":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9028","description":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2353","description":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2353","description":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5120","description":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0145","description":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0145","description":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9297","description":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9297","description":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9316","description":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9316","description":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2543","description":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2543","description":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROCHLORPERAZINE TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0780","description":"INJ PROCHLORPERAZINE TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROCHLORPERAZINE TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0780","description":"INJ PROCHLORPERAZINE TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7165","description":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7165","description":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50684","description":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50684","description":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38792","description":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38792","description":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2779","description":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2779","description":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2791","description":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2791","description":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2792","description":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2792","description":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2788","description":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2788","description":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5119","description":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5119","description":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2916","description":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2916","description":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67025","description":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67025","description":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9325","description":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9325","description":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3240","description":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2274.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2324.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3240","description":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2274.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2324.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5100","description":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5100","description":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5099","description":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5099","description":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2596","description":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2596","description":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2599","description":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2599","description":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7183","description":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7183","description":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7187","description":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7187","description":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0898","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0898","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9021","description":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9021","description":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5157","description":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5157","description":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49427","description":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49427","description":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1456","description":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1456","description":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9393","description":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9393","description":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.32,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1961","description":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1961","description":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2506","description":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2506","description":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27096","description":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27096","description":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5156","description":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5156","description":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3304","description":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3304","description":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5098","description":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5098","description":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8604","description":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION  IDURSULFASE  1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1743","description":"INJECTION  IDURSULFASE  1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION  IDURSULFASE  1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1743","description":"INJECTION  IDURSULFASE  1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION  NATALIZUMAB  1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2323","description":"INJECTION  NATALIZUMAB  1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION  NATALIZUMAB  1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2323","description":"INJECTION  NATALIZUMAB  1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20550","description":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20550","description":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64416","description":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64416","description":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64416","description":"INJECTION AA and /STRD BRACHIAL PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64448","description":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64448","description":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64454","description":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64454","description":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64405","description":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64405","description":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64425","description":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64425","description":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64421","description":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64421","description":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64420","description":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64420","description":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64449","description":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64449","description":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64451","description":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64451","description":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64450","description":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64450","description":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PARACERVICAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64435","description":"INJECTION AA and /STRD PARACERVICAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PARACERVICAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64435","description":"INJECTION AA and /STRD PARACERVICAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64430","description":"INJECTION AA and /STRD PUDENDAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64430","description":"INJECTION AA and /STRD PUDENDAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64418","description":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64418","description":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64400","description":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64400","description":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64408","description":"INJECTION AA and /STRD VAGUS NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64408","description":"INJECTION AA and /STRD VAGUS NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0586","description":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0586","description":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1120","description":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1120","description":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0139","description":"INJECTION ADALIMUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0139","description":"INJECTION ADALIMUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AACF IDACIO BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5144","description":"INJECTION ADALIMUMAB-AACF IDACIO BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AACF IDACIO BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5144","description":"INJECTION ADALIMUMAB-AACF IDACIO BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AATY BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5141","description":"INJECTION ADALIMUMAB-AATY BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AATY BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5141","description":"INJECTION ADALIMUMAB-AATY BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-ADBM BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5143","description":"INJECTION ADALIMUMAB-ADBM BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-ADBM BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5143","description":"INJECTION ADALIMUMAB-ADBM BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AFZB ABRILADA BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5145","description":"INJECTION ADALIMUMAB-AFZB ABRILADA BS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AFZB ABRILADA BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5145","description":"INJECTION ADALIMUMAB-AFZB ABRILADA BS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-FKJP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5140","description":"INJECTION ADALIMUMAB-FKJP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-FKJP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5140","description":"INJECTION ADALIMUMAB-FKJP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-RYVK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5142","description":"INJECTION ADALIMUMAB-RYVK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-RYVK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5142","description":"INJECTION ADALIMUMAB-RYVK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7171","description":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7171","description":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0178","description":"INJECTION AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0178","description":"INJECTION AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5147","description":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5147","description":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT HD 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0177","description":"INJECTION AFLIBERCEPT HD 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT HD 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0177","description":"INJECTION AFLIBERCEPT HD 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AGALSIDASE BETA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0180","description":"INJECTION AGALSIDASE BETA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AGALSIDASE BETA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0180","description":"INJECTION AGALSIDASE BETA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49400","description":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49400","description":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALEMTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0202","description":"INJECTION ALEMTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2654.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2684.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALEMTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0202","description":"INJECTION ALEMTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2654.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2684.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0221","description":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0221","description":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALLOPURINOL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0206","description":"INJECTION ALLOPURINOL SODIUM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALLOPURINOL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0206","description":"INJECTION ALLOPURINOL SODIUM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0257","description":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0257","description":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0256","description":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0256","description":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALTEPLASE RECOMBINANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2997","description":"INJECTION ALTEPLASE RECOMBINANT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALTEPLASE RECOMBINANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2997","description":"INJECTION ALTEPLASE RECOMBINANT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOCAPROIC ACID 1 GRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0281","description":"INJECTION AMINOCAPROIC ACID 1 GRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOCAPROIC ACID 1 GRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0281","description":"INJECTION AMINOCAPROIC ACID 1 GRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLIN UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0280","description":"INJECTION AMINOPHYLLIN UP TO 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0280","description":"INJECTION AMINOPHYLLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0280","description":"INJECTION AMINOPHYLLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMISULPRIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0184","description":"INJECTION AMISULPRIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMISULPRIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0184","description":"INJECTION AMISULPRIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMOBARBITAL UP TO 125 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0300","description":"INJECTION AMOBARBITAL UP TO 125 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMOBARBITAL UP TO 125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0300","description":"INJECTION AMOBARBITAL UP TO 125 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0295","description":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0295","description":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0285","description":"INJECTION AMPHOTERICIN B 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0285","description":"INJECTION AMPHOTERICIN B 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0287","description":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0287","description":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0289","description":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0289","description":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64505","description":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64505","description":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64520","description":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64520","description":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64517","description":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64517","description":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIFROLUMAB-FNIA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0491","description":"INJECTION ANIFROLUMAB-FNIA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIFROLUMAB-FNIA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0491","description":"INJECTION ANIFROLUMAB-FNIA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANKLE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27648","description":"INJECTION ANKLE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANKLE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27648","description":"INJECTION ANKLE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0364","description":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0364","description":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0185","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0185","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.947,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.288,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0891","description":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0891","description":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0402","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0402","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1943","description":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARSENIC TRIOXIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9017","description":"INJECTION ARSENIC TRIOXIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARSENIC TRIOXIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9017","description":"INJECTION ARSENIC TRIOXIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9022","description":"INJECTION ATEZOLIZUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9022","description":"INJECTION ATEZOLIZUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9024","description":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9024","description":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATIDARSAGENE AUTOTEMCEL PER TRTMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3391","description":"INJECTION ATIDARSAGENE AUTOTEMCEL PER TRTMNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4768500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATIDARSAGENE AUTOTEMCEL PER TRTMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3391","description":"INJECTION ATIDARSAGENE AUTOTEMCEL PER TRTMNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4768500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2782","description":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2782","description":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0219","description":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0219","description":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVELUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9023","description":"INJECTION AVELUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVELUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9023","description":"INJECTION AVELUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AXATILIMAB CSFR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9038","description":"INJECTION AXATILIMAB CSFR 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AXATILIMAB CSFR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9038","description":"INJECTION AXATILIMAB CSFR 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZITHROMYCIN 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0456","description":"INJECTION AZITHROMYCIN 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZITHROMYCIN 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0456","description":"INJECTION AZITHROMYCIN 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZTREONAM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0457","description":"INJECTION AZTREONAM 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZTREONAM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0457","description":"INJECTION AZTREONAM 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0475","description":"INJECTION BACLOFEN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0475","description":"INJECTION BACLOFEN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0476","description":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0476","description":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BASILIXIMAB 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0480","description":"INJECTION BASILIXIMAB 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5123.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5139.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BASILIXIMAB 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0480","description":"INJECTION BASILIXIMAB 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5123.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5139.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELATACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0485","description":"INJECTION BELATACEPT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELIMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0490","description":"INJECTION BELIMUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELIMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0490","description":"INJECTION BELIMUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELINOSTAT 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9032","description":"INJECTION BELINOSTAT 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELINOSTAT 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9032","description":"INJECTION BELINOSTAT 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9034","description":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9034","description":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9056","description":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9056","description":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9036","description":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9036","description":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENRALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0517","description":"INJECTION BENRALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENRALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0517","description":"INJECTION BENRALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENZTROPINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0515","description":"INJECTION BENZTROPINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENZTROPINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0515","description":"INJECTION BENZTROPINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.997,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3141600.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3141600.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9257","description":"INJECTION BEVACIZUMAB 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9035","description":"INJECTION BEVACIZUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9035","description":"INJECTION BEVACIZUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5129","description":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5129","description":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5107","description":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5107","description":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEZLOTOXUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0565","description":"INJECTION BEZLOTOXUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.857,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEZLOTOXUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0565","description":"INJECTION BEZLOTOXUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.857,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7351","description":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7351","description":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLEOMYCIN SULFATE 15 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9040","description":"INJECTION BLEOMYCIN SULFATE 15 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLEOMYCIN SULFATE 15 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9040","description":"INJECTION BLEOMYCIN SULFATE 15 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLINATUMOMAB 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9039","description":"INJECTION BLINATUMOMAB 1 MICROGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLINATUMOMAB 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9039","description":"INJECTION BLINATUMOMAB 1 MICROGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9041","description":"INJECTION BORTEZOMIB 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9041","description":"INJECTION BORTEZOMIB 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB BORUZU 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9054","description":"INJECTION BORTEZOMIB BORUZU 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB BORUZU 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9054","description":"INJECTION BORTEZOMIB BORUZU 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB NOT TE TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9051","description":"INJECTION BORTEZOMIB NOT TE TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB NOT TE TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9051","description":"INJECTION BORTEZOMIB NOT TE TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9042","description":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9042","description":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BREXANOLONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1632","description":"INJECTION BREXANOLONE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BREXANOLONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1632","description":"INJECTION BREXANOLONE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROLUCIZUMAB-DBLL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0179","description":"INJECTION BROLUCIZUMAB-DBLL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROLUCIZUMAB-DBLL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0179","description":"INJECTION BROLUCIZUMAB-DBLL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVACAINE LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0666","description":"INJECTION BUPIVACAINE LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVACAINE LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0666","description":"INJECTION BUPIVACAINE LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0578","description":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1860.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1886.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0578","description":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1860.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1886.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0577","description":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0577","description":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9991","description":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2124.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2174.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9991","description":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2124.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2174.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9992","description":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2124.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2174.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9992","description":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2124.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2174.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0592","description":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0592","description":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUROSUMAB-TWZA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0584","description":"INJECTION BUROSUMAB-TWZA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUROSUMAB-TWZA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0584","description":"INJECTION BUROSUMAB-TWZA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUSULFAN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0594","description":"INJECTION BUSULFAN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUSULFAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0594","description":"INJECTION BUSULFAN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUTORPHANOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0595","description":"INJECTION BUTORPHANOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUTORPHANOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0595","description":"INJECTION BUTORPHANOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0599","description":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0599","description":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0598","description":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0598","description":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0596","description":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0596","description":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9043","description":"INJECTION CABAZITAXEL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9043","description":"INJECTION CABAZITAXEL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0741","description":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0741","description":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.993,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.524,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAFFEINE CITRATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0706","description":"INJECTION CAFFEINE CITRATE 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAFFEINE CITRATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0706","description":"INJECTION CAFFEINE CITRATE 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9118","description":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9118","description":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0630","description":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1256.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0630","description":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1256.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CANAKINUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0638","description":"INJECTION CANAKINUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CANAKINUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0638","description":"INJECTION CANAKINUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CANGRELOR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9460","description":"INJECTION CANGRELOR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9045","description":"INJECTION CARBOPLATIN 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9045","description":"INJECTION CARBOPLATIN 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARFILZOMIB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9047","description":"INJECTION CARFILZOMIB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARFILZOMIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9047","description":"INJECTION CARFILZOMIB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9050","description":"INJECTION CARMUSTINE 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9050","description":"INJECTION CARMUSTINE 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9052","description":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9052","description":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASIMERSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1426","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASIMERSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1426","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASPOFUNGIN ACETATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0637","description":"INJECTION CASPOFUNGIN ACETATE 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASPOFUNGIN ACETATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0637","description":"INJECTION CASPOFUNGIN ACETATE 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0692","description":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFIDEROCOL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0699","description":"INJECTION CEFIDEROCOL 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFIDEROCOL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0699","description":"INJECTION CEFIDEROCOL 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTAXIME SODIUM PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0698","description":"INJECTION CEFOTAXIME SODIUM PER G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTAXIME SODIUM PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0698","description":"INJECTION CEFOTAXIME SODIUM PER G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOXITIN SODIUM 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0694","description":"INJECTION CEFOXITIN SODIUM 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOXITIN SODIUM 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0694","description":"INJECTION CEFOXITIN SODIUM 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAROLINE FOSAMIL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0712","description":"INJECTION CEFTAROLINE FOSAMIL 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAROLINE FOSAMIL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0712","description":"INJECTION CEFTAROLINE FOSAMIL 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0714","description":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0714","description":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0713","description":"INJECTION CEFTAZIDIME PER 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0713","description":"INJECTION CEFTAZIDIME PER 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0695","description":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0695","description":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEMIPLIMAB-RWLC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9119","description":"INJECTION CEMIPLIMAB-RWLC 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEMIPLIMAB-RWLC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9119","description":"INJECTION CEMIPLIMAB-RWLC 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERLIPONASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0567","description":"INJECTION CERLIPONASE ALFA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERLIPONASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0567","description":"INJECTION CERLIPONASE ALFA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERTOLIZUMAB PEGOL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0717","description":"INJECTION CERTOLIZUMAB PEGOL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERTOLIZUMAB PEGOL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0717","description":"INJECTION CERTOLIZUMAB PEGOL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1201","description":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1201","description":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9055","description":"INJECTION CETUXIMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9055","description":"INJECTION CETUXIMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0687","description":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0687","description":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0689","description":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0689","description":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0720","description":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0720","description":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1205","description":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1205","description":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3230","description":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3230","description":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0725","description":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0725","description":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIDOFOVIR 375 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0740","description":"INJECTION CIDOFOVIR 375 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIDOFOVIR 375 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0740","description":"INJECTION CIDOFOVIR 375 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0743","description":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0743","description":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1203","description":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1203","description":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0744","description":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0744","description":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9060","description":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9060","description":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLADRIBINE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9065","description":"INJECTION CLADRIBINE PER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLADRIBINE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9065","description":"INJECTION CLADRIBINE PER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.397,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0736","description":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0736","description":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLOFARABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9027","description":"INJECTION CLOFARABINE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLOFARABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9027","description":"INJECTION CLOFARABINE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0735","description":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0735","description":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7213","description":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7213","description":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0770","description":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0770","description":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONCIZUMAB-MTCI 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7173","description":"INJECTION CONCIZUMAB-MTCI 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONCIZUMAB-MTCI 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7173","description":"INJECTION CONCIZUMAB-MTCI 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68850","description":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68850","description":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COPANLISIB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9057","description":"INJECTION COPANLISIB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COPANLISIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9057","description":"INJECTION COPANLISIB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54235","description":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54235","description":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54230","description":"INJECTION CORPORA CAVERNOSOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0801","description":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4210.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4606.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0801","description":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4210.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4606.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0802","description":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3815.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3902.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0802","description":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3815.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3902.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSYNTROPIN 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0834","description":"INJECTION COSYNTROPIN 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSYNTROPIN 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0834","description":"INJECTION COSYNTROPIN 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0737","description":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0737","description":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0791","description":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0791","description":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROTALIDAE IMMUNE F120 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0841","description":"INJECTION CROTALIDAE IMMUNE F120 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROTALIDAE IMMUNE F120 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0841","description":"INJECTION CROTALIDAE IMMUNE F120 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROVALIMAB-AKKZ 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1307","description":"INJECTION CROVALIMAB-AKKZ 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROVALIMAB-AKKZ 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1307","description":"INJECTION CROVALIMAB-AKKZ 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.68,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9076","description":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9076","description":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9073","description":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9073","description":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.276,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.955,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.955,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.774,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOSPORINE 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7516","description":"INJECTION CYCLOSPORINE 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOSPORINE 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7516","description":"INJECTION CYCLOSPORINE 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0850","description":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1990.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1995.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0850","description":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1990.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1995.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DACTINOMYCIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9120","description":"INJECTION DACTINOMYCIN 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DACTINOMYCIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9120","description":"INJECTION DACTINOMYCIN 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALBAVANCIN 5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0875","description":"INJECTION DALBAVANCIN 5MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALBAVANCIN 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0875","description":"INJECTION DALBAVANCIN 5MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALTEPARIN SODIUM PER 2500 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1645","description":"INJECTION DALTEPARIN SODIUM PER 2500 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALTEPARIN SODIUM PER 2500 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1645","description":"INJECTION DALTEPARIN SODIUM PER 2500 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9145","description":"INJECTION DARATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9145","description":"INJECTION DARATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9144","description":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9144","description":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0881","description":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0881","description":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9011","description":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9011","description":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAUNORUBICIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9150","description":"INJECTION DAUNORUBICIN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAUNORUBICIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9150","description":"INJECTION DAUNORUBICIN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.421,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0894","description":"INJECTION DECITABINE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0894","description":"INJECTION DECITABINE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0893","description":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0893","description":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEFEROXAMINE MESYLATE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0895","description":"INJECTION DEFEROXAMINE MESYLATE 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEFEROXAMINE MESYLATE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0895","description":"INJECTION DEFEROXAMINE MESYLATE 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEGARELIX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9155","description":"INJECTION DEGARELIX 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEGARELIX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9155","description":"INJECTION DEGARELIX 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0897","description":"INJECTION DENOSUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0897","description":"INJECTION DENOSUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.164,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1000","description":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1000","description":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2597","description":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2597","description":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1095","description":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1095","description":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7312","description":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7312","description":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1190","description":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1190","description":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZEPAM UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3360","description":"INJECTION DIAZEPAM UP TO 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZEPAM UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3360","description":"INJECTION DIAZEPAM UP TO 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICYCLOMINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0500","description":"INJECTION DICYCLOMINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICYCLOMINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0500","description":"INJECTION DICYCLOMINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1160","description":"INJECTION DIGOXIN UP TO 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1160","description":"INJECTION DIGOXIN UP TO 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1110","description":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1110","description":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMENHYDRINATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1240","description":"INJECTION DIMENHYDRINATE UP TO 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMENHYDRINATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1240","description":"INJECTION DIMENHYDRINATE UP TO 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIPYRIDAMOLE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1245","description":"INJECTION DIPYRIDAMOLE PER 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIPYRIDAMOLE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1245","description":"INJECTION DIPYRIDAMOLE PER 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1212","description":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT  50 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1212","description":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT  50 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOBUTAMINE HCI PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1250","description":"INJECTION DOBUTAMINE HCI PER 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.778,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.782,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DONANEMAB-AZBT 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0175","description":"INJECTION DONANEMAB-AZBT 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DONANEMAB-AZBT 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0175","description":"INJECTION DONANEMAB-AZBT 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9000","description":"INJECTION DOXORUBICIN HCL 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9000","description":"INJECTION DOXORUBICIN HCL 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2050","description":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2050","description":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.655,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.896,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DURVALUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9173","description":"INJECTION DURVALUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DURVALUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9173","description":"INJECTION DURVALUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECALLANTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1290","description":"INJECTION ECALLANTIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECALLANTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1290","description":"INJECTION ECALLANTIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1299","description":"INJECTION ECULIZUMAB 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1299","description":"INJECTION ECULIZUMAB 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5151","description":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5151","description":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5152","description":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5152","description":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDARAVONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1301","description":"INJECTION EDARAVONE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDARAVONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1301","description":"INJECTION EDARAVONE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1449","description":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1449","description":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24220","description":"INJECTION ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELLIOTTS B SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9175","description":"INJECTION ELLIOTTS B SOLUTION 1 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELLIOTTS B SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9175","description":"INJECTION ELLIOTTS B SOLUTION 1 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOSULFASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1322","description":"INJECTION ELOSULFASE ALFA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOSULFASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1322","description":"INJECTION ELOSULFASE ALFA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9176","description":"INJECTION ELOTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9176","description":"INJECTION ELOTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELRANATAMAB-BCMM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1323","description":"INJECTION ELRANATAMAB-BCMM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELRANATAMAB-BCMM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1323","description":"INJECTION ELRANATAMAB-BCMM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMAPALUMAB-LZSG 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9210","description":"INJECTION EMAPALUMAB-LZSG 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMAPALUMAB-LZSG 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9210","description":"INJECTION EMAPALUMAB-LZSG 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMICIZUMAB-KXWH 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7170","description":"INJECTION EMICIZUMAB-KXWH 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMICIZUMAB-KXWH 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7170","description":"INJECTION EMICIZUMAB-KXWH 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9177","description":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9177","description":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENZYME PALMAR FASCIAL CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20527","description":"INJECTION ENZYME PALMAR FASCIAL CORD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENZYME PALMAR FASCIAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20527","description":"INJECTION ENZYME PALMAR FASCIAL CORD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPCORITAMAB-BYSP 0.16 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9321","description":"INJECTION EPCORITAMAB-BYSP 0.16 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPCORITAMAB-BYSP 0.16 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9321","description":"INJECTION EPCORITAMAB-BYSP 0.16 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIDURAL BLOOD/CLOT PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62273","description":"INJECTION EPIDURAL BLOOD/CLOT PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIDURAL BLOOD/CLOT PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62273","description":"INJECTION EPIDURAL BLOOD/CLOT PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIRUBICIN HCL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9178","description":"INJECTION EPIRUBICIN HCL 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIRUBICIN HCL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9178","description":"INJECTION EPIRUBICIN HCL 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0885","description":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0885","description":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5106","description":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5106","description":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0887","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0888","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0887","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0888","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOPROSTENOL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1325","description":"INJECTION EPOPROSTENOL 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOPROSTENOL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1325","description":"INJECTION EPOPROSTENOL 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTIFIBATIDE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1327","description":"INJECTION EPTIFIBATIDE 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTIFIBATIDE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1327","description":"INJECTION EPTIFIBATIDE 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTINEZUMAB-JJMR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3032","description":"INJECTION EPTINEZUMAB-JJMR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTINEZUMAB-JJMR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3032","description":"INJECTION EPTINEZUMAB-JJMR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERAVACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0122","description":"INJECTION ERAVACYCLINE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERAVACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0122","description":"INJECTION ERAVACYCLINE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERIBULIN MESYLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9179","description":"INJECTION ERIBULIN MESYLATE 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERIBULIN MESYLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9179","description":"INJECTION ERIBULIN MESYLATE 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERTAPENEM SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1335","description":"INJECTION ERTAPENEM SODIUM 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERTAPENEM SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1335","description":"INJECTION ERTAPENEM SODIUM 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1364","description":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1364","description":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1380","description":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1380","description":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTROGEN CONJUGATED PER 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1410","description":"INJECTION ESTROGEN CONJUGATED PER 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTROGEN CONJUGATED PER 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1410","description":"INJECTION ESTROGEN CONJUGATED PER 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETANERCEPT 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1438","description":"INJECTION ETANERCEPT 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETANERCEPT 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1438","description":"INJECTION ETANERCEPT 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.099,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.202,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.202,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.52,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.52,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EVINACUMAB-DGNB 5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1305","description":"INJECTION EVINACUMAB-DGNB 5MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EVINACUMAB-DGNB 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1305","description":"INJECTION EVINACUMAB-DGNB 5MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EXAGAMGLOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3392","description":"INJECTION EXAGAMGLOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2468400.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EXAGAMGLOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3392","description":"INJECTION EXAGAMGLOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2468400.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7314","description":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7314","description":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7313","description":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7313","description":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7311","description":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7311","description":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7202","description":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7202","description":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7201","description":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7201","description":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7203","description":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7203","description":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX RIXUBIS PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7200","description":"INJECTION FACTOR IX RIXUBIS PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX RIXUBIS PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7200","description":"INJECTION FACTOR IX RIXUBIS PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7209","description":"INJECTION FACTOR VIII 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7209","description":"INJECTION FACTOR VIII 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7210","description":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7210","description":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7205","description":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7205","description":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7211","description":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7211","description":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7207","description":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7207","description":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7208","description":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7208","description":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7182","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7185","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7182","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7185","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR X 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7175","description":"INJECTION FACTOR X 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR X 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7175","description":"INJECTION FACTOR X 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7180","description":"INJECTION FACTOR XIII 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7180","description":"INJECTION FACTOR XIII 1 I.U.","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII A-SUBUNIT PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7181","description":"INJECTION FACTOR XIII A-SUBUNIT PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII A-SUBUNIT PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7181","description":"INJECTION FACTOR XIII A-SUBUNIT PER IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9358","description":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9358","description":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FARICIMAB-SVOA 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2777","description":"INJECTION FARICIMAB-SVOA 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FARICIMAB-SVOA 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2777","description":"INJECTION FARICIMAB-SVOA 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1439","description":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1439","description":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC DERISOMALTOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1437","description":"INJECTION FERRIC DERISOMALTOSE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC DERISOMALTOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1437","description":"INJECTION FERRIC DERISOMALTOSE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FITUSIRAN 0.04 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7174","description":"INJECTION FITUSIRAN 0.04 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FITUSIRAN 0.04 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7174","description":"INJECTION FITUSIRAN 0.04 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLOXURIDINE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9200","description":"INJECTION FLOXURIDINE 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4388.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4538.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLOXURIDINE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9200","description":"INJECTION FLOXURIDINE 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4388.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4538.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUCONAZOLE 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1450","description":"INJECTION FLUCONAZOLE 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUCONAZOLE 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1450","description":"INJECTION FLUCONAZOLE 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUDARABINE PHOSPHATE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9185","description":"INJECTION FLUDARABINE PHOSPHATE 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUDARABINE PHOSPHATE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9185","description":"INJECTION FLUDARABINE PHOSPHATE 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUOROURACIL 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9190","description":"INJECTION FLUOROURACIL 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUOROURACIL 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9190","description":"INJECTION FLUOROURACIL 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2680","description":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2680","description":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE HCL 1.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2679","description":"INJECTION FLUPHENAZINE HCL 1.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE HCL 1.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2679","description":"INJECTION FLUPHENAZINE HCL 1.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOMEPIZOLE 15 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1451","description":"INJECTION FOMEPIZOLE 15 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOMEPIZOLE 15 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1451","description":"INJECTION FOMEPIZOLE 15 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.322,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.322,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.108,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSDENOPTERIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1809","description":"INJECTION FOSDENOPTERIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSDENOPTERIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1809","description":"INJECTION FOSDENOPTERIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FREMANEZUMAB-VFRM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3031","description":"INJECTION FREMANEZUMAB-VFRM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FREMANEZUMAB-VFRM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3031","description":"INJECTION FREMANEZUMAB-VFRM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FULVESTRANT 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9395","description":"INJECTION FULVESTRANT 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FULVESTRANT 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9395","description":"INJECTION FULVESTRANT 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FUROSEMIDE 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1941","description":"INJECTION FUROSEMIDE 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FUROSEMIDE 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1941","description":"INJECTION FUROSEMIDE 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7214","description":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7214","description":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GALSULFASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1458","description":"INJECTION GALSULFASE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GALSULFASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1458","description":"INJECTION GALSULFASE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1460","description":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1460","description":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GANCICLOVIR SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1570","description":"INJECTION GANCICLOVIR SODIUM 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GANCICLOVIR SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1570","description":"INJECTION GANCICLOVIR SODIUM 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL AVYXA 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9184","description":"INJECTION GEMCITABINE HCL AVYXA 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL AVYXA 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9184","description":"INJECTION GEMCITABINE HCL AVYXA 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL NOS 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9201","description":"INJECTION GEMCITABINE HCL NOS 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL NOS 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9201","description":"INJECTION GEMCITABINE HCL NOS 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9203","description":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9203","description":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GIVOSIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0223","description":"INJECTION GIVOSIRAN 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GIVOSIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0223","description":"INJECTION GIVOSIRAN 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLATIRAMER ACETATE 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1595","description":"INJECTION GLATIRAMER ACETATE 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLATIRAMER ACETATE 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1595","description":"INJECTION GLATIRAMER ACETATE 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLOFITAMAB-GXBM 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9286","description":"INJECTION GLOFITAMAB-GXBM 2.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3047.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3048.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLOFITAMAB-GXBM 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9286","description":"INJECTION GLOFITAMAB-GXBM 2.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3047.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3048.001,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1602","description":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1602","description":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLODIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1429","description":"INJECTION GOLODIRSEN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLODIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1429","description":"INJECTION GOLODIRSEN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1627","description":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1627","description":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GUSELKUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1628","description":"INJECTION GUSELKUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GUSELKUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1628","description":"INJECTION GUSELKUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1631","description":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1631","description":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1630","description":"INJECTION HALOPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1630","description":"INJECTION HALOPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1640","description":"INJECTION HEMIN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1640","description":"INJECTION HEMIN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27095","description":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27095","description":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27093","description":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27093","description":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7178","description":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7178","description":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7177","description":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7177","description":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE UP TO 150 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3470","description":"INJECTION HYALURONIDASE UP TO 150 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE UP TO 150 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3470","description":"INJECTION HYALURONIDASE UP TO 150 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDRALAZINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0360","description":"INJECTION HYDRALAZINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDRALAZINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0360","description":"INJECTION HYDRALAZINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.709,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3410","description":"INJECTION HYDROXYZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3410","description":"INJECTION HYDROXYZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBALIZUMAB-UIYK 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1746","description":"INJECTION IBALIZUMAB-UIYK 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBALIZUMAB-UIYK 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1746","description":"INJECTION IBALIZUMAB-UIYK 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBANDRONATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1740","description":"INJECTION IBANDRONATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBANDRONATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1740","description":"INJECTION IBANDRONATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.88,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.8,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IDARUBICIN HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9211","description":"INJECTION IDARUBICIN HCL 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IDARUBICIN HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9211","description":"INJECTION IDARUBICIN HCL 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IFOSFAMIDE 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9208","description":"INJECTION IFOSFAMIDE 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IFOSFAMIDE 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9208","description":"INJECTION IFOSFAMIDE 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1569","description":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1569","description":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMETELSTAT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0870","description":"INJECTION IMETELSTAT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMETELSTAT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0870","description":"INJECTION IMETELSTAT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMIGLUCERASE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1786","description":"INJECTION IMIGLUCERASE 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMIGLUCERASE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1786","description":"INJECTION IMIGLUCERASE 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1555","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1555","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1552","description":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1552","description":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1554","description":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1554","description":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1556","description":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1556","description":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1551","description":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1551","description":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1559","description":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1559","description":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1576","description":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1576","description":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1561","description":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1561","description":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1558","description":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1558","description":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.401,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0588","description":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0588","description":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INEBILIZUMAB-CDON 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1823","description":"INJECTION INEBILIZUMAB-CDON 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INEBILIZUMAB-CDON 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1823","description":"INJECTION INEBILIZUMAB-CDON 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1745","description":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1745","description":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5104","description":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5104","description":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1748","description":"INJECTION INFLIXIMAB-DYYB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1748","description":"INJECTION INFLIXIMAB-DYYB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5103","description":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5103","description":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9229","description":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2923.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2967.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9229","description":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2923.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2967.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3027","description":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3027","description":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3028","description":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3028","description":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.706,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.502,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9216","description":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9491.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9216","description":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9491.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL  GT 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11901","description":"INJECTION INTRALESIONAL  GT 7 LESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL  GT 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11901","description":"INJECTION INTRALESIONAL  GT 7 LESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11900","description":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11900","description":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48400","description":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48400","description":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IPILIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9228","description":"INJECTION IPILIMUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IPILIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9228","description":"INJECTION IPILIMUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9206","description":"INJECTION IRINOTECAN 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9206","description":"INJECTION IRINOTECAN 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9205","description":"INJECTION IRINOTECAN LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9205","description":"INJECTION IRINOTECAN LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON DEXTRAN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1750","description":"INJECTION IRON DEXTRAN 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON DEXTRAN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1750","description":"INJECTION IRON DEXTRAN 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISATUXIMAB-IRFC 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9227","description":"INJECTION ISATUXIMAB-IRFC 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISATUXIMAB-IRFC 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9227","description":"INJECTION ISATUXIMAB-IRFC 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.188,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IXABEPILONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9207","description":"INJECTION IXABEPILONE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IXABEPILONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9207","description":"INJECTION IXABEPILONE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.537,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANADELUMAB-FLYO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0593","description":"INJECTION LANADELUMAB-FLYO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANADELUMAB-FLYO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0593","description":"INJECTION LANADELUMAB-FLYO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1930","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1932","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1930","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1932","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LARONIDASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1931","description":"INJECTION LARONIDASE 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LARONIDASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1931","description":"INJECTION LARONIDASE 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LENACAPAVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1961","description":"INJECTION LENACAPAVIR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0640","description":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0640","description":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1951","description":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1951","description":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1950","description":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1833.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1910.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1950","description":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1833.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1910.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOCARNITINE PER 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1955","description":"INJECTION LEVOCARNITINE PER 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOCARNITINE PER 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1955","description":"INJECTION LEVOCARNITINE PER 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.116,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.47,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINCOMYCIN HCL UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2010","description":"INJECTION LINCOMYCIN HCL UP TO 300 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINCOMYCIN HCL UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2010","description":"INJECTION LINCOMYCIN HCL UP TO 300 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINEZOLID 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2020","description":"INJECTION LINEZOLID 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINEZOLID 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2020","description":"INJECTION LINEZOLID 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIOTHYRONINE 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0654","description":"INJECTION LIOTHYRONINE 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIOTHYRONINE 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0654","description":"INJECTION LIOTHYRONINE 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9153","description":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9153","description":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LORAZEPAM 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2060","description":"INJECTION LORAZEPAM 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LORAZEPAM 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2060","description":"INJECTION LORAZEPAM 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.485,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3478200.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3478200.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUMASIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0224","description":"INJECTION LUMASIRAN 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUMASIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0224","description":"INJECTION LUMASIRAN 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LURBINECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9223","description":"INJECTION LURBINECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LURBINECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9223","description":"INJECTION LURBINECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUSPATERCEPT-AAMT 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0896","description":"INJECTION LUSPATERCEPT-AAMT 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUSPATERCEPT-AAMT 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0896","description":"INJECTION LUSPATERCEPT-AAMT 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19030","description":"INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARGETUXIMAB-CMKB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9353","description":"INJECTION MARGETUXIMAB-CMKB 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARGETUXIMAB-CMKB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9353","description":"INJECTION MARGETUXIMAB-CMKB 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARSTACIM HNCQ 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7172","description":"INJECTION MARSTACIM HNCQ 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARSTACIM HNCQ 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7172","description":"INJECTION MARSTACIM HNCQ 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67515","description":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67515","description":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1050","description":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1050","description":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1738","description":"INJECTION MELOXICAM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1738","description":"INJECTION MELOXICAM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN EVOMELA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9246","description":"INJECTION MELPHALAN EVOMELA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN EVOMELA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9246","description":"INJECTION MELPHALAN EVOMELA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HCI NOS 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9245","description":"INJECTION MELPHALAN HCI NOS 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HCI NOS 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9245","description":"INJECTION MELPHALAN HCI NOS 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPIVACAINE HCL PER 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0670","description":"INJECTION MEPIVACAINE HCL PER 10 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPIVACAINE HCL PER 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0670","description":"INJECTION MEPIVACAINE HCL PER 10 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2182","description":"INJECTION MEPOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2182","description":"INJECTION MEPOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2184","description":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2184","description":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2183","description":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2183","description":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2186","description":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2186","description":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MESNA 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9209","description":"INJECTION MESNA 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MESNA 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9209","description":"INJECTION MESNA 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHADONE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1230","description":"INJECTION METHADONE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHADONE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1230","description":"INJECTION METHADONE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOCARBAMOL UP TO 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2800","description":"INJECTION METHOCARBAMOL UP TO 10 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOCARBAMOL UP TO 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2800","description":"INJECTION METHOCARBAMOL UP TO 10 ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9260","description":"INJECTION METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9260","description":"INJECTION METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.707,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2210","description":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2210","description":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.595,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2765","description":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2765","description":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MILRINONE LACTATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2260","description":"INJECTION MILRINONE LACTATE 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MILRINONE LACTATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2260","description":"INJECTION MILRINONE LACTATE 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2267","description":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2267","description":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9063","description":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9063","description":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOMYCIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9280","description":"INJECTION MITOMYCIN 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOMYCIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9280","description":"INJECTION MITOMYCIN 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOXANTRONE HCL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9293","description":"INJECTION MITOXANTRONE HCL PER 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOXANTRONE HCL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9293","description":"INJECTION MITOXANTRONE HCL PER 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9204","description":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9204","description":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2270","description":"INJECTION MORPHINE SULFATE UP TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2270","description":"INJECTION MORPHINE SULFATE UP TO 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9350","description":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9350","description":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOTIXAFORTIDE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2277","description":"INJECTION MOTIXAFORTIDE 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOTIXAFORTIDE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2277","description":"INJECTION MOTIXAFORTIDE 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9313","description":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9313","description":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXIFLOXACIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2280","description":"INJECTION MOXIFLOXACIN 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXIFLOXACIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2280","description":"INJECTION MOXIFLOXACIN 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALBUPHINE HCL PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2300","description":"INJECTION NALBUPHINE HCL PER 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALBUPHINE HCL PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2300","description":"INJECTION NALBUPHINE HCL PER 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALTREXONE DEPOT FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2315","description":"INJECTION NALTREXONE DEPOT FORM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALTREXONE DEPOT FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2315","description":"INJECTION NALTREXONE DEPOT FORM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAXITAMAB-GQGK 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9348","description":"INJECTION NAXITAMAB-GQGK 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAXITAMAB-GQGK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9348","description":"INJECTION NAXITAMAB-GQGK 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NECITUMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9295","description":"INJECTION NECITUMUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NECITUMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9295","description":"INJECTION NECITUMUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NELARABINE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9261","description":"INJECTION NELARABINE 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NELARABINE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9261","description":"INJECTION NELARABINE 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2710","description":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2710","description":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIPOCALIMAB-AAHU 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9256","description":"INJECTION NIPOCALIMAB-AAHU 3 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIPOCALIMAB-AAHU 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9256","description":"INJECTION NIPOCALIMAB-AAHU 3 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NITROGLYCERIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2305","description":"INJECTION NITROGLYCERIN 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NITROGLYCERIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2305","description":"INJECTION NITROGLYCERIN 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9298","description":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9298","description":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9299","description":"INJECTION NIVOLUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9299","description":"INJECTION NIVOLUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9289","description":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9289","description":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.947,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.894,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OBINUTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9301","description":"INJECTION OBINUTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OBINUTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9301","description":"INJECTION OBINUTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2350","description":"INJECTION OCRELIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2350","description":"INJECTION OCRELIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2351","description":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2351","description":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9302","description":"INJECTION OFATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9302","description":"INJECTION OFATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE LONG-ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2358","description":"INJECTION OLANZAPINE LONG-ACTING 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE LONG-ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2358","description":"INJECTION OLANZAPINE LONG-ACTING 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0218","description":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0218","description":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9262","description":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9262","description":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMADACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0121","description":"INJECTION OMADACYCLINE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMADACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0121","description":"INJECTION OMADACYCLINE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMALIZUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2357","description":"INJECTION OMALIZUMAB 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMALIZUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2357","description":"INJECTION OMALIZUMAB 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OPRELVEKIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2355","description":"INJECTION OPRELVEKIN 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OPRELVEKIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2355","description":"INJECTION OPRELVEKIN 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2407","description":"INJECTION ORITAVANCIN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN KIMYRSA 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2406","description":"INJECTION ORITAVANCIN KIMYRSA 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN KIMYRSA 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2406","description":"INJECTION ORITAVANCIN KIMYRSA 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN ORBACTIV 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2407","description":"INJECTION ORITAVANCIN ORBACTIV 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN ORBACTIV 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2407","description":"INJECTION ORITAVANCIN ORBACTIV 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2360","description":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2360","description":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXACILLIN SODIUM UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2700","description":"INJECTION OXACILLIN SODIUM UP TO 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXACILLIN SODIUM UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2700","description":"INJECTION OXACILLIN SODIUM UP TO 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.177,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.421,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYTOCIN UP TO 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2590","description":"INJECTION OXYTOCIN UP TO 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYTOCIN UP TO 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2590","description":"INJECTION OXYTOCIN UP TO 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9264","description":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9264","description":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIFERMIN 50 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2425","description":"INJECTION PALIFERMIN 50 MICROGRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIFERMIN 50 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2425","description":"INJECTION PALIFERMIN 50 MICROGRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2428","description":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2428","description":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2427","description":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2427","description":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2426","description":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.076,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2430","description":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2430","description":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.757,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.293,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANITUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9303","description":"INJECTION PANITUMUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANITUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9303","description":"INJECTION PANITUMUMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.805,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.333,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM IN NACI 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2472","description":"INJECTION PANTOPRAZOLE SODIUM IN NACI 40 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM IN NACI 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2472","description":"INJECTION PANTOPRAZOLE SODIUM IN NACI 40 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.889,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.396,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PATISIRAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0222","description":"INJECTION PATISIRAN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PATISIRAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0222","description":"INJECTION PATISIRAN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0558","description":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0558","description":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5127","description":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5127","description":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5130","description":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5130","description":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9266","description":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29777.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31266.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9266","description":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29777.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31266.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2781","description":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2781","description":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5122","description":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5122","description":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5120","description":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5120","description":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5111","description":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5111","description":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5108","description":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5108","description":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGLOTICASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2507","description":"INJECTION PEGLOTICASE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3905.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4002.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGLOTICASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2507","description":"INJECTION PEGLOTICASE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3905.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4002.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2508","description":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2508","description":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.308,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.784,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMBROLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9271","description":"INJECTION PEMBROLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMBROLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9271","description":"INJECTION PEMBROLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.416,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.166,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9292","description":"INJECTION PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9292","description":"INJECTION PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9323","description":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9323","description":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED NOS10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9305","description":"INJECTION PEMETREXED NOS10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED NOS10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9305","description":"INJECTION PEMETREXED NOS10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED PEMFEXY 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9304","description":"INJECTION PEMETREXED PEMFEXY 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED PEMFEXY 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9304","description":"INJECTION PEMETREXED PEMFEXY 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9314","description":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9314","description":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0561","description":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0561","description":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAZOCINE 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3070","description":"INJECTION PENTAZOCINE 30 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAZOCINE 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3070","description":"INJECTION PENTAZOCINE 30 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2515","description":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2515","description":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOSTATIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9268","description":"INJECTION PENTOSTATIN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2798.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3005.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOSTATIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9268","description":"INJECTION PENTOSTATIN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2798.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3005.783,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.782,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9306","description":"INJECTION PERTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9306","description":"INJECTION PERTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEYRONIE DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54200","description":"INJECTION PEYRONIE DISEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2560","description":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2560","description":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2760","description":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2760","description":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHYTONADIONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3430","description":"INJECTION PHYTONADIONE PER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHYTONADIONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3430","description":"INJECTION PHYTONADIONE PER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.7,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLAZOMICIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0291","description":"INJECTION PLAZOMICIN 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLAZOMICIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0291","description":"INJECTION PLAZOMICIN 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLERIXAFOR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2562","description":"INJECTION PLERIXAFOR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLERIXAFOR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2562","description":"INJECTION PLERIXAFOR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9309","description":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9309","description":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2426","description":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2426","description":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALATREXATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9307","description":"INJECTION PRALATREXATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALATREXATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9307","description":"INJECTION PRALATREXATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2730","description":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2730","description":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0012","description":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0012","description":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2690","description":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2690","description":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54230","description":"INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54230","description":"INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24220","description":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24220","description":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54200","description":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54200","description":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38790","description":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38790","description":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62284","description":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62284","description":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SIALOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42550","description":"INJECTION PROCEDURE SIALOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SIALOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42550","description":"INJECTION PROCEDURE SIALOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SPLENOPORTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38200","description":"INJECTION PROCEDURE SPLENOPORTOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SPLENOPORTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38200","description":"INJECTION PROCEDURE SPLENOPORTOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMETHAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2550","description":"INJECTION PROMETHAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMETHAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2550","description":"INJECTION PROMETHAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPRANOLOL HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1800","description":"INJECTION PROPRANOLOL HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPRANOLOL HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1800","description":"INJECTION PROPRANOLOL HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTAMINE SULFATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2720","description":"INJECTION PROTAMINE SULFATE PER 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTAMINE SULFATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2720","description":"INJECTION PROTAMINE SULFATE PER 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2724","description":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2724","description":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62290","description":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62290","description":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62291","description":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62291","description":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19030","description":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19030","description":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PEYRONIE DS W/SURG EXPOSURE PLAQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54205","description":"INJECTION PX PEYRONIE DS W/SURG EXPOSURE PLAQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PEYRONIE DS W/SURG EXPOSURE PLAQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54205","description":"INJECTION PX PEYRONIE DS W/SURG EXPOSURE PLAQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36002","description":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36002","description":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PYRIDOXINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3415","description":"INJECTION PYRIDOXINE HCL 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PYRIDOXINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3415","description":"INJECTION PYRIDOXINE HCL 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.358,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.05,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAMUCIRUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9308","description":"INJECTION RAMUCIRUMAB 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAMUCIRUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9308","description":"INJECTION RAMUCIRUMAB 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB  0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2778","description":"INJECTION RANIBIZUMAB  0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB  0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2778","description":"INJECTION RANIBIZUMAB  0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.378,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5124","description":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5124","description":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAVULIZUMAB-CWVZ 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1303","description":"INJECTION RAVULIZUMAB-CWVZ 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAVULIZUMAB-CWVZ 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1303","description":"INJECTION RAVULIZUMAB-CWVZ 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REGADENOSON 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2785","description":"INJECTION REGADENOSON 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REGADENOSON 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2785","description":"INJECTION REGADENOSON 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMDESIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0248","description":"INJECTION REMDESIVIR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMDESIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0248","description":"INJECTION REMDESIVIR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMESTEMCEL-L-RKND PER THER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3402","description":"INJECTION REMESTEMCEL-L-RKND PER THER DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229191.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMESTEMCEL-L-RKND PER THER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3402","description":"INJECTION REMESTEMCEL-L-RKND PER THER DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229191.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RESLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2786","description":"INJECTION RESLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RESLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2786","description":"INJECTION RESLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETIFANLIMAB-DLWR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9345","description":"INJECTION RETIFANLIMAB-DLWR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETIFANLIMAB-DLWR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9345","description":"INJECTION RETIFANLIMAB-DLWR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REZAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0349","description":"INJECTION REZAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REZAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0349","description":"INJECTION REZAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2790","description":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2790","description":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.404,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0587","description":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0587","description":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2327","description":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2327","description":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2794","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2798","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2794","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2798","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2799","description":"INJECTION RISPERIDONE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2799","description":"INJECTION RISPERIDONE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9312","description":"INJECTION RITUXIMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9312","description":"INJECTION RITUXIMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9311","description":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9311","description":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5115","description":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5115","description":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5123","description":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5123","description":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9319","description":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9319","description":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9318","description":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9318","description":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIPLOSTIM 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2802","description":"INJECTION ROMIPLOSTIM 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIPLOSTIM 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2802","description":"INJECTION ROMIPLOSTIM 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMOSOZUMAB-AQQG 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3111","description":"INJECTION ROMOSOZUMAB-AQQG 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMOSOZUMAB-AQQG 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3111","description":"INJECTION ROMOSOZUMAB-AQQG 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9333","description":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9333","description":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9317","description":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9317","description":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SARGRAMOSTIM 50 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2820","description":"INJECTION SARGRAMOSTIM 50 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SARGRAMOSTIM 50 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2820","description":"INJECTION SARGRAMOSTIM 50 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36471","description":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36471","description":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36470","description":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36470","description":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46500","description":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46500","description":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.597,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.781,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECUKINUMAB IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3247","description":"INJECTION SECUKINUMAB IV 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECUKINUMAB IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3247","description":"INJECTION SECUKINUMAB IV 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23350","description":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23350","description":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SILTUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2860","description":"INJECTION SILTUXIMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SILTUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2860","description":"INJECTION SILTUXIMAB 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE TENDON ORIGIN/INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20551","description":"INJECTION SINGLE TENDON ORIGIN/INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE TENDON ORIGIN/INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20551","description":"INJECTION SINGLE TENDON ORIGIN/INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20552","description":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20552","description":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20553","description":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20553","description":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20501","description":"INJECTION SINUS TRACT DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20501","description":"INJECTION SINUS TRACT DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.983,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0208","description":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0208","description":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SOMATROPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2941","description":"INJECTION SOMATROPIN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SOMATROPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2941","description":"INJECTION SOMATROPIN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SOTALOL HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9482","description":"INJECTION SOTALOL HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SPESOLIMAB-SBZO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1747","description":"INJECTION SPESOLIMAB-SBZO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SPESOLIMAB-SBZO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1747","description":"INJECTION SPESOLIMAB-SBZO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0697","description":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0697","description":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOMYCIN UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3000","description":"INJECTION STREPTOMYCIN UP TO 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOMYCIN UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3000","description":"INJECTION STREPTOMYCIN UP TO 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOZOCIN 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9320","description":"INJECTION STREPTOZOCIN 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOZOCIN 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9320","description":"INJECTION STREPTOZOCIN 1 G","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0330","description":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0330","description":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9950","description":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9950","description":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3030","description":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3030","description":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUTIMLIMAB-JOME 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1302","description":"INJECTION SUTIMLIMAB-JOME 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUTIMLIMAB-JOME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1302","description":"INJECTION SUTIMLIMAB-JOME 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAFASITAMAB-CXIX 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9349","description":"INJECTION TAFASITAMAB-CXIX 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAFASITAMAB-CXIX 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9349","description":"INJECTION TAFASITAMAB-CXIX 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9269","description":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9269","description":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALIGLUCERASE ALFA 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3060","description":"INJECTION TALIGLUCERASE ALFA 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALIGLUCERASE ALFA 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3060","description":"INJECTION TALIGLUCERASE ALFA 10 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALQUETAMAB-TGVS 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3055","description":"INJECTION TALQUETAMAB-TGVS 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALQUETAMAB-TGVS 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3055","description":"INJECTION TALQUETAMAB-TGVS 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TARLATAMAB-DLLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9026","description":"INJECTION TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1724.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1727.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TARLATAMAB-DLLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9026","description":"INJECTION TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1724.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1727.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEBENTAFUSP-TEBN 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9274","description":"INJECTION TEBENTAFUSP-TEBN 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEBENTAFUSP-TEBN 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9274","description":"INJECTION TEBENTAFUSP-TEBN 1 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TECLISTAMAB-CQYV 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9380","description":"INJECTION TECLISTAMAB-CQYV 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TECLISTAMAB-CQYV 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9380","description":"INJECTION TECLISTAMAB-CQYV 0.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEDIZOLID PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3090","description":"INJECTION TEDIZOLID PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEDIZOLID PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3090","description":"INJECTION TEDIZOLID PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3095","description":"INJECTION TELAVANCIN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3095","description":"INJECTION TELAVANCIN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9326","description":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9326","description":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMOZOLOMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9328","description":"INJECTION TEMOZOLOMIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMOZOLOMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9328","description":"INJECTION TEMOZOLOMIDE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21116","description":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21116","description":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMSIROLIMUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9330","description":"INJECTION TEMSIROLIMUS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMSIROLIMUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9330","description":"INJECTION TEMSIROLIMUS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TENECTEPLASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3101","description":"INJECTION TENECTEPLASE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TENECTEPLASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3101","description":"INJECTION TENECTEPLASE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPLIZUMAB-MZWV 5 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9381","description":"INJECTION TEPLIZUMAB-MZWV 5 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPLIZUMAB-MZWV 5 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9381","description":"INJECTION TEPLIZUMAB-MZWV 5 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPROTUMUMAB-TRBW 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3241","description":"INJECTION TEPROTUMUMAB-TRBW 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPROTUMUMAB-TRBW 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3241","description":"INJECTION TEPROTUMUMAB-TRBW 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3105","description":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3105","description":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.354,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.954,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3145","description":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3145","description":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1670","description":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1670","description":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.755,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.13,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THERAPEUTIC CARPAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20526","description":"INJECTION THERAPEUTIC CARPAL TUNNEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THERAPEUTIC CARPAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20526","description":"INJECTION THERAPEUTIC CARPAL TUNNEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIAMINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3411","description":"INJECTION THIAMINE HCL 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIAMINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3411","description":"INJECTION THIAMINE HCL 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9342","description":"INJECTION THIOTEPA NOS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9342","description":"INJECTION THIOTEPA NOS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA TEPYLUTE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9341","description":"INJECTION THIOTEPA TEPYLUTE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA TEPYLUTE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9341","description":"INJECTION THIOTEPA TEPYLUTE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TILDRAKIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3245","description":"INJECTION TILDRAKIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TILDRAKIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3245","description":"INJECTION TILDRAKIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIROFIBAN HCI 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3246","description":"INJECTION TIROFIBAN HCI 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIROFIBAN HCI 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3246","description":"INJECTION TIROFIBAN HCI 0.25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TISLELIZUMAB-JSGR 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9329","description":"INJECTION TISLELIZUMAB-JSGR 1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TISLELIZUMAB-JSGR 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9329","description":"INJECTION TISLELIZUMAB-JSGR 1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3260","description":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3260","description":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3262","description":"INJECTION TOCILIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3262","description":"INJECTION TOCILIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.567,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.567,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOFERSEN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1304","description":"INJECTION TOFERSEN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOFERSEN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1304","description":"INJECTION TOFERSEN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOPOTECAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9351","description":"INJECTION TOPOTECAN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOPOTECAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9351","description":"INJECTION TOPOTECAN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORIPALIMAB-TPZI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3263","description":"INJECTION TORIPALIMAB-TPZI 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORIPALIMAB-TPZI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3263","description":"INJECTION TORIPALIMAB-TPZI 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRABECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9352","description":"INJECTION TRABECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRABECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9352","description":"INJECTION TRABECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9356","description":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9356","description":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9355","description":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9355","description":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5117","description":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5117","description":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5114","description":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5114","description":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5112","description":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5112","description":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5113","description":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5113","description":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5116","description":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5116","description":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5146","description":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5146","description":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.775,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREMELIMUMAB-ACTL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9347","description":"INJECTION TREMELIMUMAB-ACTL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREMELIMUMAB-ACTL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9347","description":"INJECTION TREMELIMUMAB-ACTL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREOSULFAN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0614","description":"INJECTION TREOSULFAN 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREOSULFAN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0614","description":"INJECTION TREOSULFAN 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREPROSTINIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3285","description":"INJECTION TREPROSTINIL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREPROSTINIL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3285","description":"INJECTION TREPROSTINIL 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.545,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.262,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3303","description":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3303","description":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1448","description":"INJECTION TRILACICLIB 1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1448","description":"INJECTION TRILACICLIB 1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3250","description":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3250","description":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3316","description":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4150.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4905.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3316","description":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4150.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4905.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3315","description":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3315","description":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30200","description":"INJECTION TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30200","description":"INJECTION TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UBLITUXIMAB-XIIY 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2329","description":"INJECTION UBLITUXIMAB-XIIY 1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UBLITUXIMAB-XIIY 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2329","description":"INJECTION UBLITUXIMAB-XIIY 1MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9999","description":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9999","description":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9997","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9997","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA SC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9996","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA SC 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA SC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9996","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA SC 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALOCTOCOGENE ROXAPARVOVEC-RVOX PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1412","description":"INJECTION VALOCTOCOGENE ROXAPARVOVEC-RVOX PER ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104733.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106303.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALOCTOCOGENE ROXAPARVOVEC-RVOX PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1412","description":"INJECTION VALOCTOCOGENE ROXAPARVOVEC-RVOX PER ML","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104733.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106303.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9357","description":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9357","description":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2601","description":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2601","description":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2598","description":"INJECTION VASOPRESSIN 1 UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2598","description":"INJECTION VASOPRESSIN 1 UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3380","description":"INJECTION VEDOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3380","description":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3380","description":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELAGLUCERASE ALFA 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3385","description":"INJECTION VELAGLUCERASE ALFA 100 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELAGLUCERASE ALFA 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3385","description":"INJECTION VELAGLUCERASE ALFA 100 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELMANASE ALFA-TYCV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0217","description":"INJECTION VELMANASE ALFA-TYCV 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELMANASE ALFA-TYCV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0217","description":"INJECTION VELMANASE ALFA-TYCV 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VERTEPORFIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3396","description":"INJECTION VERTEPORFIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VERTEPORFIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3396","description":"INJECTION VERTEPORFIN 0.1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3397","description":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3397","description":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VILTOLARSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1427","description":"INJECTION VILTOLARSEN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VILTOLARSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1427","description":"INJECTION VILTOLARSEN 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINBLASTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9360","description":"INJECTION VINBLASTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINBLASTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9360","description":"INJECTION VINBLASTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINORELBINE TARTRATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9390","description":"INJECTION VINORELBINE TARTRATE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINORELBINE TARTRATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9390","description":"INJECTION VINORELBINE TARTRATE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3420","description":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3420","description":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7179","description":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7179","description":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3417.425,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3417.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VUTRISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0225","description":"INJECTION VUTRISIRAN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5409.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5482.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VUTRISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0225","description":"INJECTION VUTRISIRAN 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5409.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5482.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION WRIST ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25246","description":"INJECTION WRIST ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION WRIST ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25246","description":"INJECTION WRIST ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZANIDATAMAB HRII 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9276","description":"INJECTION ZANIDATAMAB HRII 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZANIDATAMAB HRII 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9276","description":"INJECTION ZANIDATAMAB HRII 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9382","description":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9382","description":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZICONOTIDE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2278","description":"INJECTION ZICONOTIDE 1 MICROGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZICONOTIDE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2278","description":"INJECTION ZICONOTIDE 1 MICROGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIDOVUDINE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3485","description":"INJECTION ZIDOVUDINE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIDOVUDINE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3485","description":"INJECTION ZIDOVUDINE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIPRASIDONE MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3486","description":"INJECTION ZIPRASIDONE MESYLATE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIPRASIDONE MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3486","description":"INJECTION ZIPRASIDONE MESYLATE 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIV-AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9400","description":"INJECTION ZIV-AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIV-AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9400","description":"INJECTION ZIV-AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLBETUXIMAB CLZB 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1326","description":"INJECTION ZOLBETUXIMAB CLZB 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLBETUXIMAB CLZB 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1326","description":"INJECTION ZOLBETUXIMAB CLZB 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLEDRONIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3489","description":"INJECTION ZOLEDRONIC ACID 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLEDRONIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3489","description":"INJECTION ZOLEDRONIC ACID 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, AMIVANTAMAB-VMJW 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9061","description":"INJECTION, AMIVANTAMAB-VMJW 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, AMIVANTAMAB-VMJW 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9061","description":"INJECTION, AMIVANTAMAB-VMJW 2 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, DOSTARLIMAB-GXLY 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9272","description":"INJECTION, DOSTARLIMAB-GXLY 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, DOSTARLIMAB-GXLY 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9272","description":"INJECTION, DOSTARLIMAB-GXLY 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.202,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9359","description":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9359","description":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9273","description":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9273","description":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2021","description":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2021","description":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEM AVYXA NOT THER EQUIV TO J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9292","description":"INJECTN PEM AVYXA NOT THER EQUIV TO J9305 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9296","description":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9296","description":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9294","description":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9294","description":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3244","description":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3244","description":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5135","description":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5135","description":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64530","description":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64530","description":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66020","description":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66020","description":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66030","description":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66030","description":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62282","description":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62282","description":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62281","description":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62281","description":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62280","description":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62280","description":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INPATIENT TELEHEALTH PHARMACOLOGIC MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0459","description":"INPATIENT TELEHEALTH PHARMACOLOGIC MANAGEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INPATIENT TELEHEALTH PHARMACOLOGIC MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0459","description":"INPATIENT TELEHEALTH PHARMACOLOGIC MANAGEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37191","description":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1804.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1894.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37191","description":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1804.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1894.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33207","description":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33207","description":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33206","description":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33206","description":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33208","description":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33208","description":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33213","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33213","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33221","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33221","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PM PLS GEN W/EXIST SINGLE LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33212","description":"INS PM PLS GEN W/EXIST SINGLE LEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS PM PLS GEN W/EXIST SINGLE LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33212","description":"INS PM PLS GEN W/EXIST SINGLE LEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64590","description":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64590","description":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33270","description":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33270","description":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66183","description":"INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66183","description":"INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49442","description":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49442","description":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49441","description":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49441","description":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49440","description":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49440","description":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33988","description":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33988","description":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53855","description":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53855","description":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36557","description":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36557","description":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19340","description":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19340","description":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59200","description":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59200","description":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11981","description":"INSERTION DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11981","description":"INSERTION DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33203","description":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33203","description":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33202","description":"INSERTION EPICARDIAL ELECTRODE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33202","description":"INSERTION EPICARDIAL ELECTRODE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93503","description":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93503","description":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58346","description":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58346","description":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32550","description":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32550","description":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33967","description":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33967","description":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58300","description":"INSERTION INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58300","description":"INSERTION INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30220","description":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30220","description":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0516","description":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0516","description":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49425","description":"INSERTION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49425","description":"INSERTION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33276","description":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33276","description":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36568","description":"INSERTION PICC W/O IMG GDN  LT  5 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36568","description":"INSERTION PICC W/O IMG GDN  LT  5 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36569","description":"INSERTION PICC W/O IMG GDN 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36569","description":"INSERTION PICC W/O IMG GDN 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36572","description":"INSERTION PICC W/RS and I  LT  5 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36572","description":"INSERTION PICC W/RS and I  LT  5 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36573","description":"INSERTION PICC W/RS and I 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36573","description":"INSERTION PICC W/RS and I 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95830","description":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95830","description":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33285","description":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3835.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4027.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33285","description":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3835.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4027.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TANDEM CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53444","description":"INSERTION TANDEM CUFF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TANDEM CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53444","description":"INSERTION TANDEM CUFF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36835","description":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36835","description":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11960","description":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11960","description":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49421","description":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49421","description":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49419","description":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49419","description":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57155","description":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57155","description":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VAGINAL RADIATION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57156","description":"INSERTION VAGINAL RADIATION DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VAGINAL RADIATION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57156","description":"INSERTION VAGINAL RADIATION DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VASCULAR PEDICLE CARPAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25430","description":"INSERTION VASCULAR PEDICLE CARPAL BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VASCULAR PEDICLE CARPAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25430","description":"INSERTION VASCULAR PEDICLE CARPAL BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20650","description":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20650","description":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64590","description":"INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33216","description":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33216","description":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33217","description":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33217","description":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22853","description":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22853","description":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22859","description":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22859","description":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22854","description":"INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22854","description":"INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36810","description":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36810","description":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36800","description":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36800","description":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36815","description":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36815","description":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36823","description":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1230.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36823","description":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1230.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33224","description":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33224","description":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33225","description":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33225","description":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33335","description":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1688.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33335","description":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1688.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33330","description":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1289.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33330","description":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1289.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33973","description":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33973","description":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36260","description":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36260","description":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33240","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33240","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33230","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33230","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33231","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33231","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53445","description":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53445","description":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33970","description":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33970","description":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49418","description":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49418","description":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66985","description":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66985","description":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57267","description":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57267","description":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11981","description":"INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-NDWELLG BLADDER CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51701","description":"INSJ NON-NDWELLG BLADDER CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-NDWELLG BLADDER CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51701","description":"INSJ NON-NDWELLG BLADDER CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36555","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36555","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36556","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36556","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65140","description":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65140","description":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65135","description":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65135","description":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65130","description":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65130","description":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33271","description":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33271","description":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD TRNSPTAL W/IMAGE ART and VENOUS ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33991","description":"INSJ PERQ VAD TRNSPTAL W/IMAGE ART and VENOUS ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33990","description":"INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33990","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33990","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33991","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33991","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I R HEART VENOUS ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33995","description":"INSJ PERQ VAD W/RS and I R HEART VENOUS ACCESS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I R HEART VENOUS ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33995","description":"INSJ PERQ VAD W/RS and I R HEART VENOUS ACCESS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33277","description":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33277","description":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PIN-RETAINED PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42281","description":"INSJ PIN-RETAINED PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PIN-RETAINED PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42281","description":"INSJ PIN-RETAINED PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36571","description":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36571","description":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36570","description":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1251.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1359.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36570","description":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1251.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1359.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49435","description":"INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49435","description":"INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51703","description":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51703","description":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51702","description":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51702","description":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54660","description":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54660","description":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37182","description":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37182","description":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36565","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36565","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36566","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3473.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3647.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3775.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3964.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36566","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3473.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3647.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3775.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3964.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36561","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36561","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36560","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36560","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36563","description":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36563","description":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36558","description":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36558","description":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33979","description":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1668.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1751.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33979","description":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1668.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1751.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33976","description":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1423.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33976","description":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1423.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33975","description":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33975","description":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19342","description":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19342","description":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61886","description":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61886","description":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61885","description":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61885","description":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33249","description":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33249","description":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA PN INT NSTIM EA ADD RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64597","description":"INSJ/RPLCMT PERQ ELTRD RA PN INT NSTIM EA ADD RA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA PN INT NSTIM EA ADD RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64597","description":"INSJ/RPLCMT PERQ ELTRD RA PN INT NSTIM EA ADD RA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA PN W/INT NSTIM 1ST RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64596","description":"INSJ/RPLCMT PERQ ELTRD RA PN W/INT NSTIM 1ST RA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA PN W/INT NSTIM 1ST RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64596","description":"INSJ/RPLCMT PERQ ELTRD RA PN W/INT NSTIM 1ST RA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63685","description":"INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63685","description":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63685","description":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33210","description":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33210","description":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33211","description":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33211","description":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7342","description":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7342","description":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9589","description":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1566.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9589","description":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1566.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32562","description":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32562","description":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50391","description":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50391","description":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32561","description":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32561","description":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32560","description":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32560","description":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86337","description":"INSULIN ANTIBODIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN FIASP PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1812","description":"INSULIN FIASP PER 5 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN FIASP PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1812","description":"INSULIN FIASP PER 5 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1814","description":"INSULIN LYUMJEV PER 5 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1814","description":"INSULIN LYUMJEV PER 5 UNITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80434","description":"INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80435","description":"INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80432","description":"INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48520","description":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48520","description":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48540","description":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48540","description":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46946","description":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46946","description":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46945","description":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46945","description":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46948","description":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46948","description":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4104","description":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4104","description":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4105","description":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4105","description":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4114","description":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1662.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1725.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4114","description":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1662.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1725.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERCALARY ALLOGRAFT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20934","description":"INTERCALARY ALLOGRAFT COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERCALARY ALLOGRAFT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20934","description":"INTERCALARY ALLOGRAFT COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERDENTAL WIRING OTHER THAN FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21497","description":"INTERDENTAL WIRING OTHER THAN FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERDENTAL WIRING OTHER THAN FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21497","description":"INTERDENTAL WIRING OTHER THAN FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92082","description":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92082","description":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT URINARY CATH; COUDE TIP HPI COA EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4296","description":"INTERMITTENT URINARY CATH; COUDE TIP HPI COA EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT URINARY CATH; COUDE TIP HPI COA EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4296","description":"INTERMITTENT URINARY CATH; COUDE TIP HPI COA EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT URINARY CATH; STR TIP HPI COAT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4295","description":"INTERMITTENT URINARY CATH; STR TIP HPI COAT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT URINARY CATH; STR TIP HPI COAT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4295","description":"INTERMITTENT URINARY CATH; STR TIP HPI COAT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64727","description":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64727","description":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27290","description":"INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1426.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1446.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1498.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1518.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27290","description":"INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1426.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1446.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1498.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1518.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93290","description":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93290","description":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93288","description":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93288","description":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93291","description":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93291","description":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93289","description":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93289","description":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93151","description":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93151","description":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93261","description":"INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93261","description":"INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93292","description":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93292","description":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93295","description":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93295","description":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93750","description":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93750","description":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION WITHOUT PROGRAMMING IPNSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93153","description":"INTERROGATION WITHOUT PROGRAMMING IPNSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION WITHOUT PROGRAMMING IPNSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93153","description":"INTERROGATION WITHOUT PROGRAMMING IPNSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49411","description":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49411","description":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77778","description":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77778","description":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23900","description":"INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1218.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1279.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23900","description":"INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1218.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1279.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL ALLOTRANSPLANTATION CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44135","description":"INTESTINAL ALLOTRANSPLANTATION CADAVER DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2672.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL ALLOTRANSPLANTATION CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44135","description":"INTESTINAL ALLOTRANSPLANTATION CADAVER DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2672.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL ALLOTRANSPLANTATION LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44136","description":"INTESTINAL ALLOTRANSPLANTATION LIVING DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3013.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL ALLOTRANSPLANTATION LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44136","description":"INTESTINAL ALLOTRANSPLANTATION LIVING DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3013.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL PLICATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44680","description":"INTESTINAL PLICATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL PLICATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44680","description":"INTESTINAL PLICATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINE IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78290","description":"INTESTINE IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINE IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78290","description":"INTESTINE IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93610","description":"INTRA-ATRIAL PACING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93602","description":"INTRA-ATRIAL RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93602","description":"INTRA-ATRIAL RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-VENTRIC and /ATRIAL MAPG TACHYCARD W/CATH MA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93609","description":"INTRA-VENTRIC and /ATRIAL MAPG TACHYCARD W/CATH MA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93609","description":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93609","description":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93662","description":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93662","description":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93613","description":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93613","description":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77763","description":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77763","description":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77762","description":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77762","description":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77761","description":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77761","description":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61692","description":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3249.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3411.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61692","description":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3249.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3411.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61690","description":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1953.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2050.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61690","description":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1953.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2050.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61686","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3995.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4195.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61686","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3995.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4195.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61684","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2537.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2664.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61684","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2537.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2664.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61682","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3710.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3895.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61682","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3710.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3895.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61680","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2031.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61680","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2031.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95024","description":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95024","description":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95027","description":"INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74360","description":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74360","description":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93631","description":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93631","description":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77425","description":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77425","description":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77424","description":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77424","description":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38900","description":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38900","description":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE COLONIC LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44701","description":"INTRAOPERATIVE COLONIC LAVAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE COLONIC LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44701","description":"INTRAOPERATIVE COLONIC LAVAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE NIR FLUOR LM OF LYM W/ADMIN ICG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9756","description":"INTRAOPERATIVE NIR FLUOR LM OF LYM W/ADMIN ICG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77469","description":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77469","description":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41000","description":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41000","description":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41009","description":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41009","description":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41006","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41006","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41005","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41005","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41007","description":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41007","description":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41008","description":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41008","description":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1277.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1277.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1277.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37279","description":"INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4084.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4289.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37279","description":"INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4084.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4289.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37262","description":"INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3003.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3154.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37262","description":"INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3003.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3154.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37253","description":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37253","description":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37252","description":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37252","description":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.007,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.44,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENTRICULAR PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93612","description":"INTRAVENTRICULAR PACING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67028","description":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67028","description":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRINSIC FACTOR ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86340","description":"INTRINSIC FACTOR ANTIBODIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57180","description":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57180","description":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36901","description":"INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36901","description":"INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36903","description":"INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3489.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3664.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3793.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3982.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36903","description":"INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3489.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3664.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3793.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3982.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36902","description":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1121.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36902","description":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1121.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36013","description":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36013","description":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36010","description":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36010","description":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74340","description":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74340","description":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36160","description":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36160","description":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36100","description":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36100","description":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36140","description":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36140","description":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION CATHETER AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36200","description":"INTRODUCTION CATHETER AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION CATHETER AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36200","description":"INTRODUCTION CATHETER AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44500","description":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44500","description":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36000","description":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36000","description":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44615","description":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":939.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44615","description":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":939.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31500","description":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31500","description":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.48,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9508","description":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9508","description":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95940","description":"IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95940","description":"IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95941","description":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95941","description":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99255","description":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99255","description":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99254","description":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99254","description":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99252","description":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99252","description":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95028","description":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95028","description":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95027","description":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95027","description":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66605","description":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66605","description":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66635","description":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66635","description":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66625","description":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66625","description":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66600","description":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66600","description":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66630","description":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66630","description":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66762","description":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66762","description":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66505","description":"IRIDOTOMY STAB INC SPX TRANSFIXION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66505","description":"IRIDOTOMY STAB INC SPX TRANSFIXION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66500","description":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66500","description":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66761","description":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66761","description":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIS PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1839","description":"IRIS PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIS SUPPORTED INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2631","description":"IRIS SUPPORTED INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIS SUPPORTED INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2631","description":"IRIS SUPPORTED INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRON BINDING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83550","description":"IRON BINDING CAPACITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRON STAIN PERIPHERAL BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85536","description":"IRON STAIN PERIPHERAL BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96523","description":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96523","description":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54220","description":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54220","description":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57150","description":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57150","description":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95875","description":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95875","description":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISLET CELL ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86341","description":"ISLET CELL ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOCITRIC DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83570","description":"ISOCITRIC DEHYDROGENASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93571","description":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93572","description":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93571","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93571","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93572","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93572","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96361","description":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96361","description":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96360","description":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96360","description":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96367","description":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96367","description":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96366","description":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96366","description":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96365","description":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96365","description":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15860","description":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15860","description":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15860","description":"IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96368","description":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96368","description":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9029","description":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69742.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69774.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9029","description":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69742.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69774.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Immune complex assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86332","description":"Immune complex assay","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Insulin antibodies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86337","description":"Insulin antibodies","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Intra-atrial pacing","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93610","description":"Intra-atrial pacing","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Intra-atrial pacing","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93610","description":"Intra-atrial pacing","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Intraventricular pacing","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93612","description":"Intraventricular pacing","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Intraventricular pacing","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93612","description":"Intraventricular pacing","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Islet cell antibody","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86341","description":"Islet cell antibody","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 GENE ANALYSIS P.VAL617PHE VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81270","description":"JAK2 GENE ANALYSIS P.VAL617PHE VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81279","description":"JAK2 TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81279","description":"JAK2 TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.139,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77077","description":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77077","description":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ANTERIOR LAMELLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65710","description":"KERATOPLASTY ANTERIOR LAMELLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ANTERIOR LAMELLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65710","description":"KERATOPLASTY ANTERIOR LAMELLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ENDOTHELIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65756","description":"KERATOPLASTY ENDOTHELIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ENDOTHELIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65756","description":"KERATOPLASTY ENDOTHELIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRAING APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65750","description":"KERATOPLASTY PENETRAING APHAKIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1099.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRAING APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65750","description":"KERATOPLASTY PENETRAING APHAKIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1099.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65755","description":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65755","description":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65730","description":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65730","description":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODIES SERUM QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82009","description":"KETONE BODIES SERUM QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODIES SERUM QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82010","description":"KETONE BODIES SERUM QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODYS QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82009","description":"KETONE BODYS QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODYS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82010","description":"KETONE BODYS QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETOSTEROIDS 17- FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83593","description":"KETOSTEROIDS 17- FRACTIONATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78725","description":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78725","description":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78700","description":"KIDNEY IMAGING MORPHOLOGY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOLOGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78700","description":"KIDNEY IMAGING MORPHOLOGY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78701","description":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78701","description":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78707","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78707","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78708","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78708","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78709","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78709","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIT GENE ANALYSIS D816 VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81273","description":"KIT GENE ANALYSIS D816 VARIANT(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81272","description":"KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRAS GENE ANALYSIS ADDITIONAL VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81276","description":"KRAS GENE ANALYSIS ADDITIONAL VARIANT(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRAS GENE ANALYSIS VARIANTS IN EXON 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81275","description":"KRAS GENE ANALYSIS VARIANTS IN EXON 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRUKENBERG PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25915","description":"KRUKENBERG PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1095.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KRUKENBERG PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25915","description":"KRUKENBERG PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1095.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KTE-C19 TO 200 M A ANTI-CD19 CAR POS T CE P TD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2041","description":"KTE-C19 TO 200 M A ANTI-CD19 CAR POS T CE P TD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538468.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586384.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KTE-C19 TO 200 M A ANTI-CD19 CAR POS T CE P TD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2041","description":"KTE-C19 TO 200 M A ANTI-CD19 CAR POS T CE P TD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538468.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586384.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY 3 OR MORE SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22819","description":"KYPHECTOMY 3 OR MORE SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2169.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2195.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2277.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2305.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY 3 OR MORE SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22819","description":"KYPHECTOMY 3 OR MORE SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2169.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2195.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2277.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2305.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY SINGLE OR TWO SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22818","description":"KYPHECTOMY SINGLE OR TWO SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1883.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1907.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1977.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2003.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY SINGLE OR TWO SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22818","description":"KYPHECTOMY SINGLE OR TWO SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1883.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1907.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1977.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2003.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"L HRT CATH CHD IMG CATH TRGT ZON NML/ABNL NT CNJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93595","description":"L HRT CATH CHD IMG CATH TRGT ZON NML/ABNL NT CNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"L HRT CATH CHD IMG CATH TRGT ZON NML/ABNL NT CNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93595","description":"L HRT CATH CHD IMG CATH TRGT ZON NML/ABNL NT CNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93452","description":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93452","description":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78140","description":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78140","description":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69905","description":"LABYRINTHECTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69905","description":"LABYRINTHECTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY W/MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69910","description":"LABYRINTHECTOMY W/MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY W/MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69910","description":"LABYRINTHECTOMY W/MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHOTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69801","description":"LABYRINTHOTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHOTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69801","description":"LABYRINTHOTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LACTATE DEHYDROGENASE ISOENZYMES SEP AND QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83625","description":"LACTATE DEHYDROGENASE ISOENZYMES SEP AND QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATE DEHYDROGENASE LDH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83615","description":"LACTATE DEHYDROGENASE LDH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOFERRIN FECAL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83630","description":"LACTOFERRIN FECAL QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOFERRIN FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83631","description":"LACTOFERRIN FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83632","description":"LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOSE URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83633","description":"LACTOSE URINE QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.395,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.92,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.92,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.798,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63285","description":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2337.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2454.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63285","description":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2337.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2454.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63286","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2299.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2414.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63286","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2299.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2414.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63287","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2450.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2573.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63287","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2450.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2573.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63283","description":"LAM BX/EXC ISPI NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1793.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63283","description":"LAM BX/EXC ISPI NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1793.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63280","description":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1898.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1993.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63280","description":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1898.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1993.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63282","description":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1863.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63282","description":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1863.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63281","description":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1883.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1977.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63281","description":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1883.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1977.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63290","description":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2491.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2616.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63290","description":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2491.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2616.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63197","description":"LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1536.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63270","description":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1861.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1954.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63270","description":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1861.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1954.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63272","description":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1673.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1757.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63272","description":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1673.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1757.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63273","description":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1676.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1759.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63273","description":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1676.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1759.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63271","description":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1855.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1948.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63271","description":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1855.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1948.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63265","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1495.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63265","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1495.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63268","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1381.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63268","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1381.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63266","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1534.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1611.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63266","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1534.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1611.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63267","description":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63267","description":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63252","description":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2704.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2839.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63252","description":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2704.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2839.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63250","description":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2645.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2777.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63250","description":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2645.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2777.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63251","description":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2704.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2839.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63251","description":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2704.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2839.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63053","description":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63053","description":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63052","description":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63052","description":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63045","description":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63047","description":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63046","description":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1099.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63045","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63045","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63047","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63047","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63046","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1099.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63046","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1099.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63048","description":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63048","description":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMTOMY 1 SGM EA CRV THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63048","description":"LAM FACETECTOMY and FORAMTOMY 1 SGM EA CRV THRC/LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63655","description":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63655","description":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63197","description":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1536.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63197","description":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1536.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63172","description":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1333.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63172","description":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1333.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63173","description":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1549.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63173","description":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1549.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63170","description":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1431.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1503.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63170","description":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1431.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1503.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1100.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1100.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1100.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63275","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1610.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1691.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63275","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1610.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1691.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63277","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1396.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63277","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1396.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63278","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63278","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63276","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1600.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1680.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63276","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1600.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1680.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63200","description":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63200","description":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63015","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1393.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63015","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1393.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63017","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63017","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63016","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1364.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63016","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1364.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63005","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63005","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63011","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63011","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63003","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63003","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63190","description":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63190","description":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63185","description":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63185","description":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63012","description":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1121.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63012","description":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1121.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63191","description":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63191","description":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63020","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63020","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63030","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63030","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63020","description":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63030","description":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63035","description":"LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63050","description":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63050","description":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63051","description":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1453.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1579.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63051","description":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1453.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1579.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63032","description":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63032","description":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63040","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63040","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63043","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63043","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63042","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63042","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63035","description":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63035","description":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63044","description":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63044","description":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAP ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2079","description":"LAP ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAP ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2079","description":"LAP ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44970","description":"LAPAROSCOPIC APPENDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44970","description":"LAPAROSCOPIC APPENDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC SURGICAL SPLENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38120","description":"LAPAROSCOPIC SURGICAL SPLENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC SURGICAL SPLENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38120","description":"LAPAROSCOPIC SURGICAL SPLENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60650","description":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60650","description":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44204","description":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1346.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44204","description":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1346.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57425","description":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57425","description":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44180","description":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44180","description":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58672","description":"LAPAROSCOPY FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58672","description":"LAPAROSCOPY FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FULGURATION OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58670","description":"LAPAROSCOPY FULGURATION OVIDUCTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FULGURATION OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58670","description":"LAPAROSCOPY FULGURATION OVIDUCTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50546","description":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50546","description":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50548","description":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1216.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50548","description":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1216.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54692","description":"LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54692","description":"LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45400","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45400","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45402","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1327.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1393.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45402","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1327.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1393.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY RADICAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50545","description":"LAPAROSCOPY RADICAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY RADICAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50545","description":"LAPAROSCOPY RADICAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58673","description":"LAPAROSCOPY SALPINGOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58673","description":"LAPAROSCOPY SALPINGOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SLING OPERATION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51992","description":"LAPAROSCOPY SLING OPERATION STRESS INCONT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SLING OPERATION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51992","description":"LAPAROSCOPY SLING OPERATION STRESS INCONT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44203","description":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44203","description":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58541","description":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58541","description":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50541","description":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50541","description":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47562","description":"LAPAROSCOPY SURG CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47562","description":"LAPAROSCOPY SURG CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47570","description":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47570","description":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44188","description":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1066.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1120.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44188","description":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1066.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1120.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44187","description":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1005.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44187","description":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1005.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50543","description":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1287.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1351.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50543","description":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1287.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1351.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PYELOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50544","description":"LAPAROSCOPY SURG PYELOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PYELOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50544","description":"LAPAROSCOPY SURG PYELOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49650","description":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49650","description":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49321","description":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49321","description":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44186","description":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44186","description":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL ORCHIECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54690","description":"LAPAROSCOPY SURGICAL ORCHIECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL ORCHIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54690","description":"LAPAROSCOPY SURGICAL ORCHIECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58573","description":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1183.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58573","description":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1183.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58572","description":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58572","description":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51990","description":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51990","description":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URTROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50945","description":"LAPAROSCOPY URTROLITHOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URTROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50945","description":"LAPAROSCOPY URTROLITHOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58570","description":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58570","description":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/LYSIS OF ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58660","description":"LAPAROSCOPY W/LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/LYSIS OF ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58660","description":"LAPAROSCOPY W/LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/OMENTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49326","description":"LAPAROSCOPY W/OMENTOPEXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/OMENTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49326","description":"LAPAROSCOPY W/OMENTOPEXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58671","description":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58671","description":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58661","description":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58661","description":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49320","description":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49320","description":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50542","description":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50542","description":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58674","description":"LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58674","description":"LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38572","description":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38572","description":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44227","description":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1451.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1524.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44227","description":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1451.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1524.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44211","description":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1843.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1935.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44211","description":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1843.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1935.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44208","description":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1723.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1809.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44208","description":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1723.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1809.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44212","description":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1768.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1856.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44212","description":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1768.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1856.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44207","description":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1583.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1662.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44207","description":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1583.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1662.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44206","description":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1525.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1601.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44206","description":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1525.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1601.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44205","description":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44205","description":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44210","description":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1548.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44210","description":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1548.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44202","description":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1178.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1220.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1281.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44202","description":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1178.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1220.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1281.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGEAL LENGTHENING ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43283","description":"LAPS ESOPHAGEAL LENGTHENING ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGEAL LENGTHENING ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43283","description":"LAPS ESOPHAGEAL LENGTHENING ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43279","description":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43279","description":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58662","description":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58662","description":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43770","description":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43770","description":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43773","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43773","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43772","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43772","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43774","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43774","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43771","description":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43771","description":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43644","description":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43644","description":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1608.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43645","description":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43645","description":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43775","description":"LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43775","description":"LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43647","description":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43647","description":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49324","description":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49324","description":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS LIGATION SPERMATIC VEINS VARICOCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55550","description":"LAPS LIGATION SPERMATIC VEINS VARICOCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS LIGATION SPERMATIC VEINS VARICOCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55550","description":"LAPS LIGATION SPERMATIC VEINS VARICOCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44213","description":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44213","description":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58545","description":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58545","description":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58546","description":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58546","description":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45395","description":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1711.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1796.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45395","description":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1711.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1796.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45397","description":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1851.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1944.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45397","description":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1851.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1944.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55866","description":"LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43648","description":"LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43648","description":"LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43282","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1597.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43282","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1597.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43281","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43281","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58543","description":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58543","description":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTEREC  GT 250 G RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58544","description":"LAPS SUPRACRV HYSTEREC  GT 250 G RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTEREC  GT 250 G RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58544","description":"LAPS SUPRACRV HYSTEREC  GT 250 G RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58542","description":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58542","description":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47371","description":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1112.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1167.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47371","description":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1112.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1167.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47370","description":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47370","description":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38571","description":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38571","description":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47564","description":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47564","description":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47563","description":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47563","description":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43280","description":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43280","description":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43653","description":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43653","description":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55866","description":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55866","description":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55866","description":"LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55867","description":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55867","description":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38570","description":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38570","description":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49651","description":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49651","description":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43652","description":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43652","description":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43651","description":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43651","description":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49322","description":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49322","description":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49323","description":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49323","description":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58575","description":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1671.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1712.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1754.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1798.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58575","description":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1671.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1712.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1754.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1798.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58571","description":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58571","description":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59150","description":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59150","description":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59151","description":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59151","description":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50947","description":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1194.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50947","description":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1194.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50948","description":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1099.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50948","description":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1099.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58554","description":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58554","description":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58550","description":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58550","description":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38573","description":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38573","description":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49327","description":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49327","description":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58548","description":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1607.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1667.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1750.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58548","description":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1607.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1667.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1750.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/REVISION INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49325","description":"LAPS W/REVISION INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/REVISION INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49325","description":"LAPS W/REVISION INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58552","description":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58552","description":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58553","description":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58553","description":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43333","description":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43333","description":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58960","description":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58960","description":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47015","description":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47015","description":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31561","description":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31561","description":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31541","description":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31541","description":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31545","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31545","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31546","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31546","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31571","description":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31571","description":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92520","description":"LARYNGEAL FUNCTION STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31590","description":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31590","description":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31367","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1916.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2012.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31367","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1916.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2012.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31368","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2117.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2223.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31368","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2117.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2223.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31360","description":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1813.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1903.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31360","description":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1813.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1903.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31365","description":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2234.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2346.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31365","description":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2234.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2346.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31587","description":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31587","description":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31580","description":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31580","description":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31551","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1433.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31551","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1433.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31552","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31552","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31553","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31553","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31554","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1561.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31554","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1561.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31591","description":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31591","description":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31584","description":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31584","description":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31570","description":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31570","description":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31560","description":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31560","description":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31535","description":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31535","description":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31540","description":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31540","description":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31572","description":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31572","description":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31575","description":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31575","description":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31578","description":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31578","description":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31573","description":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31573","description":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31576","description":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31576","description":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31574","description":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31574","description":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31577","description":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31577","description":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31579","description":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31579","description":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31531","description":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31531","description":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31505","description":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31505","description":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31510","description":"LARYNGOSCOPY INDIRECT W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31510","description":"LARYNGOSCOPY INDIRECT W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31511","description":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31511","description":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31512","description":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31512","description":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31513","description":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31513","description":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31536","description":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31536","description":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31530","description":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31530","description":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31515","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31515","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31529","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31529","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31525","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31525","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31520","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31520","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31527","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31527","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31528","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31528","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31526","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31526","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31300","description":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31300","description":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER ENUCLEATION PROSTATE W/MORCELLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52649","description":"LASER ENUCLEATION PROSTATE W/MORCELLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER ENUCLEATION PROSTATE W/MORCELLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52649","description":"LASER ENUCLEATION PROSTATE W/MORCELLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS  GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96922","description":"LASER SKIN DISEASE PSORIASIS  GT 500 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96921","description":"LASER SKIN DISEASE PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS TOT AREA  LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96920","description":"LASER SKIN DISEASE PSORIASIS TOT AREA  LT 250 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52648","description":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52648","description":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL CANTHOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21282","description":"LATERAL CANTHOPEXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL CANTHOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21282","description":"LATERAL CANTHOPEXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL RETINACULAR RELEASE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27425","description":"LATERAL RETINACULAR RELEASE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL RETINACULAR RELEASE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27425","description":"LATERAL RETINACULAR RELEASE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31000","description":"LAVAGE CANNULATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31000","description":"LAVAGE CANNULATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31002","description":"LAVAGE CANNULATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31002","description":"LAVAGE CANNULATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.286,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93462","description":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93462","description":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27394","description":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27394","description":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27395","description":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27395","description":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27393","description":"LENGTHENING HAMSTRING TENDON SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27393","description":"LENGTHENING HAMSTRING TENDON SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42226","description":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42226","description":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE W/ISLAND FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42227","description":"LENGTHENING PALATE W/ISLAND FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE W/ISLAND FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42227","description":"LENGTHENING PALATE W/ISLAND FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26476","description":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26476","description":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26478","description":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26478","description":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LENS INTRAOCULAR TELESCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1840","description":"LENS INTRAOCULAR TELESCOPIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14201.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2784","description":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2784","description":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2221","description":"LENTICULAR LENS PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2221","description":"LENTICULAR LENS PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2121","description":"LENTICULAR LENS PER LENS SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2121","description":"LENTICULAR LENS PER LENS SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2321","description":"LENTICULAR LENS PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2321","description":"LENTICULAR LENS PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2215","description":"LENTICULAR PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2215","description":"LENTICULAR PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2115","description":"LENTICULAR PER LENS SINGLE VISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2115","description":"LENTICULAR PER LENS SINGLE VISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2315","description":"LENTICULAR PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2315","description":"LENTICULAR PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUCINE AMINOPEPTIDASE LAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83670","description":"LEUCINE AMINOPEPTIDASE LAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89055","description":"LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE HISTAMINE RELEASE TEST LHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86343","description":"LEUKOCYTE HISTAMINE RELEASE TEST LHR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE PHAGOCYTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86344","description":"LEUKOCYTE PHAGOCYTOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE TRANSFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86950","description":"LEUKOCYTE TRANSFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE 7.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9217","description":"LEUPROLIDE ACETATE 7.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE 7.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9217","description":"LEUPROLIDE ACETATE 7.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9218","description":"LEUPROLIDE ACETATE PER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9218","description":"LEUPROLIDE ACETATE PER 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1952","description":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1952","description":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88300","description":"LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL II SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88302","description":"LEVEL II SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88304","description":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88305","description":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88305","description":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL V SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88307","description":"LEVEL V SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL VI SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88309","description":"LEVEL VI SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7296","description":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1253.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7296","description":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1253.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7301","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1043.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7301","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1043.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7297","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7298","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1253.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7297","description":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7297","description":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7298","description":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1253.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7298","description":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1253.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37718","description":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37718","description":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37722","description":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37722","description":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37606","description":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37606","description":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37761","description":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37761","description":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37760","description":"LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37760","description":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37760","description":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37700","description":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37700","description":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37735","description":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37735","description":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33924","description":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33924","description":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37607","description":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37607","description":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43405","description":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43405","description":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58611","description":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58611","description":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58600","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58600","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58605","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58605","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27427","description":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27427","description":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27428","description":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27428","description":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES ETHMOIDAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30915","description":"LIGATION ARTERIES ETHMOIDAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES ETHMOIDAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30915","description":"LIGATION ARTERIES ETHMOIDAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30920","description":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30920","description":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION DIRECT ESOPHAGEAL VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43400","description":"LIGATION DIRECT ESOPHAGEAL VARICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1342.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1409.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION DIRECT ESOPHAGEAL VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43400","description":"LIGATION DIRECT ESOPHAGEAL VARICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1342.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1409.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION EXTERNAL CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37600","description":"LIGATION EXTERNAL CAROTID ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION EXTERNAL CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37600","description":"LIGATION EXTERNAL CAROTID ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL JUGULAR VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37565","description":"LIGATION INTERNAL JUGULAR VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL JUGULAR VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37565","description":"LIGATION INTERNAL JUGULAR VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL/COMMON CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37605","description":"LIGATION INTERNAL/COMMON CAROTID ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL/COMMON CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37605","description":"LIGATION INTERNAL/COMMON CAROTID ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37617","description":"LIGATION MAJOR ARTERY ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37617","description":"LIGATION MAJOR ARTERY ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37616","description":"LIGATION MAJOR ARTERY CHEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37616","description":"LIGATION MAJOR ARTERY CHEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37618","description":"LIGATION MAJOR ARTERY EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37618","description":"LIGATION MAJOR ARTERY EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37615","description":"LIGATION MAJOR ARTERY NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37615","description":"LIGATION MAJOR ARTERY NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF COMMON ILIAC VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37660","description":"LIGATION OF COMMON ILIAC VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF COMMON ILIAC VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37660","description":"LIGATION OF COMMON ILIAC VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37650","description":"LIGATION OF FEMORAL VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37650","description":"LIGATION OF FEMORAL VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37619","description":"LIGATION OF INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1510.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1585.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37619","description":"LIGATION OF INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1510.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1585.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49428","description":"LIGATION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49428","description":"LIGATION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION SALIVARY DUCT INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42665","description":"LIGATION SALIVARY DUCT INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION SALIVARY DUCT INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42665","description":"LIGATION SALIVARY DUCT INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION/BIOPSY TEMPORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37609","description":"LIGATION/BIOPSY TEMPORAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION/BIOPSY TEMPORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37609","description":"LIGATION/BIOPSY TEMPORAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37780","description":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37780","description":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ  and  DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37735","description":"LIGJ  and  DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ  AND  STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37718","description":"LIGJ DIVJ  AND  STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37785","description":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37785","description":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ and STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37722","description":"LIGJ DIVJ and STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27429","description":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1111.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1166.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27429","description":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1111.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1166.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED PHARYNGECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42890","description":"LIMITED PHARYNGECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED PHARYNGECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42890","description":"LIMITED PHARYNGECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92081","description":"LIMITED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92081","description":"LIMITED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80061","description":"LIPID PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN (A)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83695","description":"LIPOPROTEIN (A)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP AND QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83700","description":"LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP AND QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.406,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD HIGH RESOLTJ AND QUANTJ SUBCLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83701","description":"LIPOPROTEIN BLOOD HIGH RESOLTJ AND QUANTJ SUBCLASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD QUAN NUMBERS  AND  SUBCLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83704","description":"LIPOPROTEIN BLOOD QUAN NUMBERS  AND  SUBCLASSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83718","description":"LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83721","description":"LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83719","description":"LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83698","description":"LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7368","description":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7368","description":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY COMP/LG  GT  2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52318","description":"LITHOLAPAXY COMP/LG  GT  2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY COMP/LG  GT  2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52318","description":"LITHOLAPAXY COMP/LG  GT  2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52317","description":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52317","description":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOTRIPSY XTRCORP SHOCK WAVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50590","description":"LITHOTRIPSY XTRCORP SHOCK WAVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOTRIPSY XTRCORP SHOCK WAVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50590","description":"LITHOTRIPSY XTRCORP SHOCK WAVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61737","description":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61737","description":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61736","description":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61736","description":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78215","description":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78215","description":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78216","description":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78216","description":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91200","description":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91200","description":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78201","description":"LIVER IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78201","description":"LIVER IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78202","description":"LIVER IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78202","description":"LIVER IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LM  GT or equal to 110 MIL AUTOL ANTI-CD19 CAR-POS VIABL T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2054","description":"LM  GT or equal to 110 MIL AUTOL ANTI-CD19 CAR-POS VIABL T","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568134.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595799.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LM  LT or equal to 110 MIL AUTOL ANTI-CD19 CAR-POS VIABL T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2054","description":"LM  LT or equal to 110 MIL AUTOL ANTI-CD19 CAR-POS VIABL T","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568134.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595799.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LM  LT or equal to 110 MIL AUTOL ANTI-CD19 CAR-POS VIABL T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2054","description":"LM  LT or equal to 110 MIL AUTOL ANTI-CD19 CAR-POS VIABL T","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568134.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595799.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86806","description":"LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38562","description":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38562","description":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38564","description":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38564","description":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92019","description":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92019","description":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25280","description":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25280","description":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27686","description":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27686","description":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27685","description":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27685","description":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LOBAR LUNG TRANSPLANTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2060","description":"LOBAR LUNG TRANSPLANTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2845.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2988.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LOBAR LUNG TRANSPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2060","description":"LOBAR LUNG TRANSPLANTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2845.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2988.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20979","description":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20979","description":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64474","description":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64474","description":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64473","description":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64473","description":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOXAPINE FOR INHALATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2062","description":"LOXAPINE FOR INHALATION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOXAPINE FOR INHALATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2062","description":"LOXAPINE FOR INHALATION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32852","description":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3050.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3202.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32852","description":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3050.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3202.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32851","description":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2834.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2976.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32851","description":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2834.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2976.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32854","description":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4191.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4401.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32854","description":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4191.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4401.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32853","description":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3959.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4157.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32853","description":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3959.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4157.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LUTEINIZING RELEASING FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83727","description":"LUTEINIZING RELEASING FACTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.884,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47135","description":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4749.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4986.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47135","description":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4749.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4986.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75803","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75803","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75801","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75801","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75807","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75807","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75805","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75805","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38308","description":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38308","description":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHATICS  AND  LYMPH NODES IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78195","description":"LYMPHATICS  AND  LYMPH NODES IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHATICS  AND  LYMPH NODES IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78195","description":"LYMPHATICS  AND  LYMPH NODES IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7504","description":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4791.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5514.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7504","description":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4791.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5514.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7511","description":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7511","description":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86353","description":"LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86805","description":"LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS INTRANASAL SYNECHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30560","description":"LYSIS INTRANASAL SYNECHIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS INTRANASAL SYNECHIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30560","description":"LYSIS INTRANASAL SYNECHIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS LABIAL ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56441","description":"LYSIS LABIAL ADHESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS LABIAL ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56441","description":"LYSIS LABIAL ADHESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS OF ADHESIONS SALPINX/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58740","description":"LYSIS OF ADHESIONS SALPINX/OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS OF ADHESIONS SALPINX/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58740","description":"LYSIS OF ADHESIONS SALPINX/OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54162","description":"LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54162","description":"LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngeal function studies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92520","description":"Laryngeal function studies","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngeal function studies","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92520","description":"Laryngeal function studies","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Leukocyte phagocytosis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86344","description":"Leukocyte phagocytosis","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80061","description":"Lipid panel","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88368","description":"M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88367","description":"M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88374","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88373","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88377","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88369","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88361","description":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88360","description":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACRO EXAM DISSECT AND PREP TISS NONMICRO STD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88387","description":"MACRO EXAM DISSECT AND PREP TISS NONMICRO STD EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC EXAMINATION ARTHROPOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87168","description":"MACROSCOPIC EXAMINATION ARTHROPOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC EXAMINATION PARASITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87169","description":"MACROSCOPIC EXAMINATION PARASITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC XM DSJ and PREPJ TISS NONMCRSCP STD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88387","description":"MACROSCOPIC XM DSJ and PREPJ TISS NONMCRSCP STD EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE ELASTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76391","description":"MAGNETIC RESONANCE ELASTOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE ELASTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76391","description":"MAGNETIC RESONANCE ELASTOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95965","description":"MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95965","description":"MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95966","description":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95966","description":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95967","description":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95967","description":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32820","description":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1220.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32820","description":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1220.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AUGMENTATION PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21270","description":"MALAR AUGMENTATION PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AUGMENTATION PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21270","description":"MALAR AUGMENTATION PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19325","description":"MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77054","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77054","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77053","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77053","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26341","description":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26341","description":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27860","description":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27860","description":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94667","description":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94667","description":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94668","description":"MANIPULATION CHEST WALL SUBSEQUENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94668","description":"MANIPULATION CHEST WALL SUBSEQUENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ELBOW UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24300","description":"MANIPULATION ELBOW UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ELBOW UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24300","description":"MANIPULATION ELBOW UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26340","description":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26340","description":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27275","description":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27275","description":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27570","description":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27570","description":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION SPINE REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22505","description":"MANIPULATION SPINE REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION SPINE REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22505","description":"MANIPULATION SPINE REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21073","description":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21073","description":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION WRIST UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25259","description":"MANIPULATION WRIST UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION WRIST UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25259","description":"MANIPULATION WRIST UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO and /EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94667","description":"MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO and /EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94668","description":"MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23700","description":"MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50396","description":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50396","description":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50686","description":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50686","description":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77071","description":"MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77071","description":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77071","description":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20700","description":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20700","description":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20704","description":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20704","description":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20702","description":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20702","description":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION BARTHOLINS GLAND CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56440","description":"MARSUPIALIZATION BARTHOLINS GLAND CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION BARTHOLINS GLAND CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56440","description":"MARSUPIALIZATION BARTHOLINS GLAND CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION CST/ABSC LVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47300","description":"MARSUPIALIZATION CST/ABSC LVR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION CST/ABSC LVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47300","description":"MARSUPIALIZATION CST/ABSC LVR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION PANCREATIC CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48500","description":"MARSUPIALIZATION PANCREATIC CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION PANCREATIC CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48500","description":"MARSUPIALIZATION PANCREATIC CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42409","description":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42409","description":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53240","description":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53240","description":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASS SPECT AND TANDEM MASS SPECT NONDRG ANAL NES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83789","description":"MASS SPECT AND TANDEM MASS SPECT NONDRG ANAL NES EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19307","description":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19307","description":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19306","description":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19306","description":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19305","description":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19305","description":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY FOR GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19300","description":"MASTECTOMY FOR GYNECOMASTIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY FOR GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19300","description":"MASTECTOMY FOR GYNECOMASTIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19300","description":"MASTECTOMY GYNECOMASTIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19301","description":"MASTECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19301","description":"MASTECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19302","description":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19302","description":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19303","description":"MASTECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19303","description":"MASTECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOID OBLITERATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69670","description":"MASTOID OBLITERATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOID OBLITERATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69670","description":"MASTOID OBLITERATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69502","description":"MASTOIDECTOMY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69502","description":"MASTOIDECTOMY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY MODIFIED RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69505","description":"MASTOIDECTOMY MODIFIED RADICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY MODIFIED RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69505","description":"MASTOIDECTOMY MODIFIED RADICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69511","description":"MASTOIDECTOMY RADICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69511","description":"MASTOIDECTOMY RADICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19316","description":"MASTOPEXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19316","description":"MASTOPEXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19020","description":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19020","description":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MATRION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM MICROMATRIX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4118","description":"MATRISTEM MICROMATRIX 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM MICROMATRIX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4118","description":"MATRISTEM MICROMATRIX 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94200","description":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94200","description":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42280","description":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42280","description":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/O ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31225","description":"MAXILLECTOMY W/O ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1589.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1669.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/O ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31225","description":"MAXILLECTOMY W/O ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1589.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1669.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31230","description":"MAXILLECTOMY W/ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1773.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1862.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31230","description":"MAXILLECTOMY W/ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1773.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1862.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36596","description":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36596","description":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36595","description":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36595","description":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81290","description":"MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51798","description":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51798","description":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94012","description":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94012","description":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94011","description":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94011","description":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90710","description":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90707","description":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90707","description":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94013","description":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94013","description":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAT FIBERS FECES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89160","description":"MEAT FIBERS FECES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53020","description":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53020","description":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53025","description":"MEATOTOMY CUTTING MEATUS SPX INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53025","description":"MEATOTOMY CUTTING MEATUS SPX INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL FRAGILITY RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85547","description":"MECHANICAL FRAGILITY RBC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75902","description":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75902","description":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75901","description":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75901","description":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS DUPLICATION/DELETION VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81304","description":"MECP2 GENE ANALYSIS DUPLICATION/DELETION VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS FULL SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81302","description":"MECP2 GENE ANALYSIS FULL SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81303","description":"MECP2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21280","description":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21280","description":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39000","description":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39000","description":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39010","description":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39010","description":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39401","description":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39401","description":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39402","description":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39402","description":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97802","description":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97803","description":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97803","description":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97804","description":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97804","description":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76145","description":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76145","description":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4126","description":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4126","description":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.471,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.027,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.027,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.856,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PROT  AND  OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90620","description":"MENB-4C RECOMBNT PROT  AND  OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90620","description":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90620","description":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.994,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.772,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.772,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.027,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21060","description":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21060","description":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METANEPHRINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83835","description":"METANEPHRINES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28140","description":"METATARSECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28140","description":"METATARSECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHEMALBUMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83857","description":"METHEMALBUMIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.922,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.101,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9260","description":"METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE XATMEP ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8612","description":"METHOTREXATE XATMEP ORAL 2.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE XATMEP ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8612","description":"METHOTREXATE XATMEP ORAL 2.5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METL-ON-METL TOT HIP RESRFC ACETAB AND FEM CMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2118","description":"METL-ON-METL TOT HIP RESRFC ACETAB AND FEM CMPNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"METL-ON-METL TOT HIP RESRFC ACETAB AND FEM CMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2118","description":"METL-ON-METL TOT HIP RESRFC ACETAB AND FEM CMPNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"METYRAPONE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80436","description":"METYRAPONE PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT GENE PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81287","description":"MGMT GENE PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47360","description":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1649.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1732.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47360","description":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1649.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1732.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47361","description":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2637.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2769.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47361","description":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2637.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2769.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47362","description":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1342.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47362","description":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1342.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47350","description":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1261.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47350","description":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1261.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MICROFLUIDIC ANALYSIS TEAR OSMOLARITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83861","description":"MICROFLUIDIC ANALYSIS TEAR OSMOLARITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8616","description":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8616","description":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81301","description":"MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSOMAL ANTIBODIES EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86376","description":"MICROSOMAL ANTIBODIES EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69990","description":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69990","description":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93025","description":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93025","description":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69440","description":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69440","description":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15730","description":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15730","description":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOCHONDRIAL ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86381","description":"MITOCHONDRIAL ANTIBODY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOCHONDRIAL ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86381","description":"MITOCHONDRIAL ANTIBODY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9282","description":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9282","description":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9281","description":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9281","description":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77338","description":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77338","description":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLG-COMPLETE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLG-COMPLETE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81294","description":"MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81292","description":"MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81293","description":"MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81288","description":"MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24410","description":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":980.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24410","description":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":980.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25375","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25375","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25370","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25370","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95805","description":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95805","description":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23700","description":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23700","description":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20950","description":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20950","description":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44139","description":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44139","description":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99157","description":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99157","description":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99155","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99155","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99156","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99156","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99153","description":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99153","description":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99151","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99151","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99152","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99152","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92325","description":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92325","description":"MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65125","description":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65125","description":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86362","description":"MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86362","description":"MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOG-IGG1 ANTIBODY FLOW CYTOMETRY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86363","description":"MOG-IGG1 ANTIBODY FLOW CYTOMETRY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOG-IGG1 ANTIBODY FLOW CYTOMETRY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86363","description":"MOG-IGG1 ANTIBODY FLOW CYTOMETRY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17311","description":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17311","description":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17312","description":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17312","description":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17313","description":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17313","description":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17315","description":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17315","description":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17314","description":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17314","description":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88275","description":"MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88273","description":"MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88272","description":"MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS DNA PROBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88271","description":"MOLECULAR CYTOGENETICS DNA PROBE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88274","description":"MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81400","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81401","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81402","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81403","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81404","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81405","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81406","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81407","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81408","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1848.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7402","description":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7402","description":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86356","description":"MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88356","description":"MORPHOMETRIC ANALYSIS NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS SKELETAL MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88355","description":"MORPHOMETRIC ANALYSIS SKELETAL MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88358","description":"MORPHOMETRIC ANALYSIS TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92611","description":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92611","description":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95905","description":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95905","description":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76016","description":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76016","description":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76019","description":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76019","description":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76014","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76014","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76015","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76015","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76018","description":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76018","description":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76017","description":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76017","description":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA ABDOMEN W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74185","description":"MRA ABDOMEN W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA ABDOMEN W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74185","description":"MRA ABDOMEN W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71555","description":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71555","description":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70545","description":"MRA HEAD W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70545","description":"MRA HEAD W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70546","description":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70546","description":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70544","description":"MRA HEAD W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70544","description":"MRA HEAD W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73725","description":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73725","description":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70548","description":"MRA NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70548","description":"MRA NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70549","description":"MRA NECK W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70549","description":"MRA NECK W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70547","description":"MRA NECK W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70547","description":"MRA NECK W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA PELVIS W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72198","description":"MRA PELVIS W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA PELVIS W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72198","description":"MRA PELVIS W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72159","description":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72159","description":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73225","description":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73225","description":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74182","description":"MRI ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74182","description":"MRI ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74183","description":"MRI ABDOMEN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74183","description":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74183","description":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74181","description":"MRI ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74181","description":"MRI ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73722","description":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73722","description":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73723","description":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73723","description":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73721","description":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73721","description":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73222","description":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73222","description":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73223","description":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73223","description":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73221","description":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73221","description":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77084","description":"MRI BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77084","description":"MRI BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70552","description":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70552","description":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70551","description":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70551","description":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70553","description":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70553","description":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70554","description":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70554","description":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70555","description":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70555","description":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70558","description":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70558","description":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70559","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70559","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70557","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70557","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77048","description":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77048","description":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77047","description":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77047","description":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77046","description":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77046","description":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77049","description":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77049","description":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71551","description":"MRI CHEST W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71551","description":"MRI CHEST W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71552","description":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71552","description":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71550","description":"MRI CHEST W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71550","description":"MRI CHEST W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77022","description":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77022","description":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77021","description":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77021","description":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73719","description":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73719","description":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73720","description":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73720","description":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73718","description":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73718","description":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70542","description":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70542","description":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70543","description":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70543","description":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and /NECK W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70540","description":"MRI ORBIT FACE  and /NECK W/O CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and /NECK W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70540","description":"MRI ORBIT FACE  and /NECK W/O CONTRAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72196","description":"MRI PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72196","description":"MRI PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72197","description":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72197","description":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72195","description":"MRI PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72195","description":"MRI PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72142","description":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72142","description":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72156","description":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72156","description":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72141","description":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72141","description":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72149","description":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72149","description":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72158","description":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72158","description":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72148","description":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72148","description":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72147","description":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72147","description":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72157","description":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72157","description":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72146","description":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72146","description":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70336","description":"MRI TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70336","description":"MRI TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73220","description":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73220","description":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73219","description":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73219","description":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73218","description":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73218","description":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81297","description":"MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81295","description":"MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81296","description":"MSH2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81300","description":"MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81298","description":"MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81299","description":"MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MTHFR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81291","description":"MTHFR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCIN SYNOVIAL FLUID ROPES TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83872","description":"MUCIN SYNOVIAL FLUID ROPES TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCOPOLYSACCHARIDES ACID QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83864","description":"MUCOPOLYSACCHARIDES ACID QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92274","description":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92274","description":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE PUNCTURES ANTERIOR CORNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65600","description":"MULTIPLE PUNCTURES ANTERIOR CORNEA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE PUNCTURES ANTERIOR CORNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65600","description":"MULTIPLE PUNCTURES ANTERIOR CORNEA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MURAMIDASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85549","description":"MURAMIDASE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15738","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15738","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15734","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1323.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1389.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15734","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1323.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1389.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15736","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15736","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15733","description":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15733","description":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23397","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1017.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23397","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1017.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23395","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23395","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE-SPECIFIC KINASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86366","description":"MUSCLE-SPECIFIC KINASE ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE-SPECIFIC KINASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86366","description":"MUSCLE-SPECIFIC KINASE ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24301","description":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24301","description":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7514","description":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7514","description":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81305","description":"MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81305","description":"MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELIN BASIC PROTEIN CEREBROSPINAL FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83873","description":"MYELIN BASIC PROTEIN CEREBROSPINAL FLUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY CERVICAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72240","description":"MYELOGRAPHY CERVICAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY CERVICAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72240","description":"MYELOGRAPHY CERVICAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY THORACIC RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72255","description":"MYELOGRAPHY THORACIC RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY THORACIC RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72255","description":"MYELOGRAPHY THORACIC RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECT RS AND I LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62304","description":"MYELOGRAPHY VIA LUMBAR INJECT RS AND I LUMBOSACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECT RS AND I LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62304","description":"MYELOGRAPHY VIA LUMBAR INJECT RS AND I LUMBOSACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I 2 PLUS  REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62305","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I 2 PLUS  REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I 2 PLUS  REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62305","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I 2 PLUS  REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62302","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62302","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62303","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62303","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY 2/MORE REGIONS RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72270","description":"MYELOGRAPY 2/MORE REGIONS RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY 2/MORE REGIONS RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72270","description":"MYELOGRAPY 2/MORE REGIONS RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY LUMBOSACRAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72265","description":"MYELOGRAPY LUMBOSACRAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY LUMBOSACRAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72265","description":"MYELOGRAPY LUMBOSACRAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY POST FOSSA RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70010","description":"MYELOGRAPY POST FOSSA RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY POST FOSSA RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70010","description":"MYELOGRAPY POST FOSSA RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78466","description":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78466","description":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78453","description":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78453","description":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78454","description":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78454","description":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33542","description":"MYOCARDIAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2259.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2372.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33542","description":"MYOCARDIAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2259.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2372.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78452","description":"MYOCARDIAL SPECT MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78452","description":"MYOCARDIAL SPECT MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78451","description":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78451","description":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78468","description":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78468","description":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83874","description":"MYOGLOBIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58145","description":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58145","description":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58140","description":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58140","description":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58146","description":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58146","description":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69620","description":"MYRINGOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69620","description":"MYRINGOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69420","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69420","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69421","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69421","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY LASER-ASSISTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2225","description":"MYRINGOTOMY LASER-ASSISTED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY LASER-ASSISTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2225","description":"MYRINGOTOMY LASER-ASSISTED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Metyrapone panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80436","description":"Metyrapone panel","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Muramidase","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85549","description":"Muramidase","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75580","description":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75580","description":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93924","description":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93924","description":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31231","description":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31231","description":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL SMEAR EOSINOPHILS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89190","description":"NASAL SMEAR EOSINOPHILS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31233","description":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31233","description":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31235","description":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31235","description":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31256","description":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31256","description":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31287","description":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31287","description":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31290","description":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31290","description":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31291","description":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31291","description":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31293","description":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31293","description":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31292","description":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31292","description":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31240","description":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31240","description":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31298","description":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2507.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2632.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2725.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2861.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31298","description":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2507.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2632.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2725.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2861.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31296","description":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1471.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1545.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31296","description":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1471.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1545.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31295","description":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1333.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1449.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31295","description":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1333.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1449.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31297","description":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1321.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1508.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31297","description":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1321.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1508.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31241","description":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31241","description":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31294","description":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31294","description":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31253","description":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31253","description":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31259","description":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31259","description":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31257","description":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31257","description":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31241","description":"NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31254","description":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31254","description":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31276","description":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31276","description":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31255","description":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31255","description":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43752","description":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43752","description":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92511","description":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92511","description":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATRIURETIC PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83880","description":"NATRIURETIC PEPTIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATURAL KILLER CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86357","description":"NATURAL KILLER CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95860","description":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95860","description":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95861","description":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95861","description":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95863","description":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95863","description":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95864","description":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95864","description":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51785","description":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51785","description":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92265","description":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92265","description":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33266","description":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1589.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1668.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33266","description":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1589.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1668.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33265","description":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1176.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33265","description":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1176.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC DCMPRN SPINAL CORD 1 W/LAMOT NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62380","description":"NDSC DCMPRN SPINAL CORD 1 W/LAMOT NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC DCMPRN SPINAL CORD 1 W/LAMOT NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62380","description":"NDSC DCMPRN SPINAL CORD 1 W/LAMOT NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44385","description":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44385","description":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44386","description":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44386","description":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51715","description":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51715","description":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33508","description":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33508","description":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50980","description":"NDSC URETEROTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50980","description":"NDSC URETEROTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50972","description":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50972","description":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29848","description":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29848","description":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95868","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95868","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95867","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95867","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95866","description":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95866","description":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY LARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95865","description":"NEEDLE ELECTROMYOGRAPHY LARYNX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY LARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95865","description":"NEEDLE ELECTROMYOGRAPHY LARYNX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95885","description":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95885","description":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95886","description":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95886","description":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95874","description":"NEEDLE EMG GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95874","description":"NEEDLE EMG GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95870","description":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95870","description":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95887","description":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95887","description":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95869","description":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95869","description":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95872","description":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95872","description":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92265","description":"NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME  GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97608","description":"NEG PRESSURE WOUND THERAPY NON DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME  GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97608","description":"NEG PRESSURE WOUND THERAPY NON DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME  LT or equal to  50 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97607","description":"NEG PRESSURE WOUND THERAPY NON DME  LT or equal to  50 SQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME  LT or equal to  50 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97607","description":"NEG PRESSURE WOUND THERAPY NON DME  LT or equal to  50 SQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97605","description":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97605","description":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOPATCH OR THERION 1 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4176","description":"NEOPATCH OR THERION 1 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOPATCH OR THERION 1 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4176","description":"NEOPATCH OR THERION 1 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4267","description":"NEOSTIM DL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4267","description":"NEOSTIM DL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4266","description":"NEOSTIM MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4266","description":"NEOSTIM MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM TL, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4265","description":"NEOSTIM TL, PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1874.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM TL, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4265","description":"NEOSTIM TL, PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1874.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100 PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100 PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOXFLO OR CLARIXFLO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4155","description":"NEOXFLO OR CLARIXFLO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOXFLO OR CLARIXFLO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4155","description":"NEOXFLO OR CLARIXFLO 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50240","description":"NEPHRECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1204.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50240","description":"NEPHRECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1204.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50236","description":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1265.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50236","description":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1265.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50230","description":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50230","description":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50225","description":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1043.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50225","description":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1043.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50220","description":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50220","description":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50234","description":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50234","description":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50070","description":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50070","description":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL STAGE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL STAGE 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY FOR CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY FOR CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50500","description":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50500","description":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50040","description":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50040","description":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY/NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50040","description":"NEPHROSTOMY/NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50045","description":"NEPHROTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50045","description":"NEPHROTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 1-2 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95907","description":"NERVE CONDUCTION STUDIES 1-2 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 1-2 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95907","description":"NERVE CONDUCTION STUDIES 1-2 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 11-12 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95912","description":"NERVE CONDUCTION STUDIES 11-12 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 11-12 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95912","description":"NERVE CONDUCTION STUDIES 11-12 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95913","description":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95913","description":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 3-4 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95908","description":"NERVE CONDUCTION STUDIES 3-4 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 3-4 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95908","description":"NERVE CONDUCTION STUDIES 3-4 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 5-6 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95909","description":"NERVE CONDUCTION STUDIES 5-6 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 5-6 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95909","description":"NERVE CONDUCTION STUDIES 5-6 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 7-8 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95910","description":"NERVE CONDUCTION STUDIES 7-8 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 7-8 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95910","description":"NERVE CONDUCTION STUDIES 7-8 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 9-10 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95911","description":"NERVE CONDUCTION STUDIES 9-10 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 9-10 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95911","description":"NERVE CONDUCTION STUDIES 9-10 STUDIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64893","description":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64893","description":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64892","description":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64892","description":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64891","description":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64891","description":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64890","description":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64890","description":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE 1 STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64901","description":"NERVE GRAFT EACH NERVE 1 STRAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE 1 STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64901","description":"NERVE GRAFT EACH NERVE 1 STRAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64902","description":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64902","description":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64886","description":"NERVE GRAFT HEAD/NECK  GT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64886","description":"NERVE GRAFT HEAD/NECK  GT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  LT  4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64885","description":"NERVE GRAFT HEAD/NECK  LT  4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  LT  4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64885","description":"NERVE GRAFT HEAD/NECK  LT  4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64898","description":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64898","description":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64897","description":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1173.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64897","description":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1173.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64896","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1260.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1323.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64896","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1260.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1323.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64895","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1168.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1226.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64895","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1168.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1226.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICAL TRANSFER SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64907","description":"NERVE PEDICAL TRANSFER SECOND STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1204.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICAL TRANSFER SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64907","description":"NERVE PEDICAL TRANSFER SECOND STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1204.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICLE TRANSFER FIRST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64905","description":"NERVE PEDICLE TRANSFER FIRST STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICLE TRANSFER FIRST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64905","description":"NERVE PEDICLE TRANSFER FIRST STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64911","description":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64911","description":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/CONDUIT EACH NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64910","description":"NERVE REPAIR W/CONDUIT EACH NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/CONDUIT EACH NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64910","description":"NERVE REPAIR W/CONDUIT EACH NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64913","description":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64913","description":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64912","description":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64912","description":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NERVE TEASING PREPARATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88362","description":"NERVE TEASING PREPARATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01967","description":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":284.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":294.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":308.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":336.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":366.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01967","description":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":284.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":294.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":308.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":336.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FLATRATE","negotiated_rate":366.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY HAMSTRING MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27325","description":"NEURECTOMY HAMSTRING MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY HAMSTRING MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27325","description":"NEURECTOMY HAMSTRING MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28055","description":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28055","description":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27326","description":"NEURECTOMY POPLITEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27326","description":"NEURECTOMY POPLITEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96116","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96116","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96121","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96121","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62164","description":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1878.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62164","description":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1878.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95937","description":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95937","description":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64721","description":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64721","description":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64716","description":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64716","description":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64718","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64718","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64719","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64719","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64702","description":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64702","description":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64704","description":"NEUROPLASTY NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64704","description":"NEUROPLASTY NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96132","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96132","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96133","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96133","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64708","description":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64708","description":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64713","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64713","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64714","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64714","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64712","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64712","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZATION TEST VIRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86382","description":"NEUTRALIZATION TEST VIRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86408","description":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86408","description":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86409","description":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86409","description":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87505","description":"NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT DNA/RNA INFLUENZA  GT 2 TYPES EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87503","description":"NFCT AGENT DNA/RNA INFLUENZA  GT 2 TYPES EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP B VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87912","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP B VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87902","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87913","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87913","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE HEPATITIS B VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87912","description":"NFCT AGENT GENOTYPE HEPATITIS B VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87902","description":"NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87900","description":"NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GENOTYPE ALYS NUCLEIC ACID CMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87910","description":"NFCT AGT GENOTYPE ALYS NUCLEIC ACID CMV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GENOTYPE NUCLEIC ACID CYTOMEGALOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87910","description":"NFCT AGT GENOTYPE NUCLEIC ACID CYTOMEGALOVIRUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87906","description":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87901","description":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81513","description":"NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81513","description":"NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT VAGINOSIS and VAGINITIS DNA VAG FLU ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81514","description":"NFCT DS BCT VAGINOSIS and VAGINITIS DNA VAG FLU ALG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT VAGINOSIS and VAGINITIS DNA VAG FLU ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81514","description":"NFCT DS BCT VAGINOSIS and VAGINITIS DNA VAG FLU ALG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BV and VAGINITIS RTPCR AMP DNA MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81515","description":"NFCT DS BV and VAGINITIS RTPCR AMP DNA MARKERS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BV and VAGINITIS RTPCR AMP DNA MARKERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81515","description":"NFCT DS BV and VAGINITIS RTPCR AMP DNA MARKERS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT GEXYP DNA/RNA HIV 1 OTHER REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87906","description":"NFCT GEXYP DNA/RNA HIV 1 OTHER REGION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR AND PROTEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87901","description":"NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR AND PROTEAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87904","description":"NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87903","description":"NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77750","description":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77750","description":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19110","description":"NIPPLE EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19110","description":"NIPPLE EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE/AREOLA RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19350","description":"NIPPLE/AREOLA RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE/AREOLA RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19350","description":"NIPPLE/AREOLA RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITRIC OXIDE EXPIRED GAS DETERMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95012","description":"NITRIC OXIDE EXPIRED GAS DETERMINATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITRIC OXIDE EXPIRED GAS DETERMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95012","description":"NITRIC OXIDE EXPIRED GAS DETERMINATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITROBLUE TETRAZOLIUM DYE TEST NTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86384","description":"NITROBLUE TETRAZOLIUM DYE TEST NTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51605","description":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51605","description":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64455","description":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64455","description":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64479","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64479","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64480","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64480","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64483","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64483","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64484","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64484","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64510","description":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64510","description":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STEROID PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64455","description":"NJX ANES and /STEROID PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC 1 LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64479","description":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC 1 LVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC EA LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64480","description":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC EA LV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64483","description":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC EA LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64484","description":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC EA LV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62294","description":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62294","description":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54235","description":"NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47531","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47531","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47532","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47532","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51600","description":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51600","description":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93568","description":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93568","description":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93573","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93573","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93569","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93569","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93575","description":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93575","description":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93574","description":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93574","description":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93566","description":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93566","description":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93567","description":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93567","description":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93563","description":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93563","description":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93564","description":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93564","description":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64490","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64490","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64491","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64491","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64492","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64492","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64493","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64493","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64494","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64494","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64495","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64495","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62321","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62325","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62321","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62325","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62320","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62324","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62320","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62324","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62323","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62327","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62323","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62327","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62322","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62326","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62322","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62326","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36466","description":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1253.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1316.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36466","description":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1253.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1316.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36465","description":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1121.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1219.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36465","description":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1121.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1219.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PEYRONIE W/SURG EXPOS PLAQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54205","description":"NJX PEYRONIE W/SURG EXPOS PLAQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PULMONARY ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93568","description":"NJX PULMONARY ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50431","description":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50431","description":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50430","description":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM NEW ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50430","description":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM NEW ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27369","description":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27369","description":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36005","description":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36005","description":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX RETROGRADE URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51610","description":"NJX RETROGRADE URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX RETROGRADE URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51610","description":"NJX RETROGRADE URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL HRT ART CONGENITAL HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93563","description":"NJX SEL HRT ART CONGENITAL HRT CATH W/S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93564","description":"NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93566","description":"NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SUPRAVALV AORTOG HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93567","description":"NJX SUPRAVALV AORTOG HRT CATH W/S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50690","description":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50690","description":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC FOR ENTERAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9998","description":"NOC FOR ENTERAL SUPPLIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","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":null,"billing_code":"J7799","description":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"NOCTURNAL PENILE TUMESCENCE  and /RIGIDITY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54250","description":"NOCTURNAL PENILE TUMESCENCE  and /RIGIDITY TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOCTURNAL PENILE TUMESCENCE  and /RIGIDITY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54250","description":"NOCTURNAL PENILE TUMESCENCE  and /RIGIDITY TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93922","description":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93922","description":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93923","description":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93923","description":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1010","description":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1010","description":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCARDIAC VASCULAR FLOW IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78445","description":"NONCARDIAC VASCULAR FLOW IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCARDIAC VASCULAR FLOW IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78445","description":"NONCARDIAC VASCULAR FLOW IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94761","description":"NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94761","description":"NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94762","description":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94762","description":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94760","description":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94760","description":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPRESCRIPTION DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9150","description":"NONPRESCRIPTION DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPRESCRIPTION DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9150","description":"NONPRESCRIPTION DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36221","description":"NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36221","description":"NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81310","description":"NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRV GRF 1 STRAND HAND/FOOT  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64891","description":"NRV GRF 1 STRAND HAND/FOOT  GT 4 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31267","description":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31267","description":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31288","description":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31288","description":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77301","description":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1615.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1696.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1715.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77301","description":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1615.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1696.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1715.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86386","description":"NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62161","description":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62161","description":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62165","description":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1351.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62165","description":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1351.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62162","description":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1778.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62162","description":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1778.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62160","description":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62160","description":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99315","description":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99316","description":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99315","description":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99315","description":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99316","description":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99316","description":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUSHIELD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4160","description":"NUSHIELD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUSHIELD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4160","description":"NUSHIELD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.323,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82657","description":"NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82658","description":"NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Nerve teasing preparations","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88362","description":"Nerve teasing preparations","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94690","description":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94690","description":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94681","description":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94681","description":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST AND XERS DIRECT SIMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST AND XERS DIRECT SIMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4124","description":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4124","description":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4102","description":"OASIS WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4102","description":"OASIS WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBECABTAGENE AUTOLEUCEL 10 UP TO 400 MIL CD19","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2058","description":"OBECABTAGENE AUTOLEUCEL 10 UP TO 400 MIL CD19","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBECABTAGENE AUTOLEUCEL 10 UP TO 400 MIL CD19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2058","description":"OBECABTAGENE AUTOLEUCEL 10 UP TO 400 MIL CD19","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1319.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1385.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1319.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1385.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1319.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1385.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61613","description":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2928.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3075.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61613","description":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2928.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3075.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99234","description":"OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99235","description":"OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99236","description":"OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80055","description":"OBSTETRIC PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80081","description":"OBSTETRIC PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL INCLUDES HIV TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80081","description":"OBSTETRIC PANEL INCLUDES HIV TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49460","description":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49460","description":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUDER LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2770","description":"OCCLUDER LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUDER LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2770","description":"OCCLUDER LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58615","description":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58615","description":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97167","description":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97167","description":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97165","description":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97165","description":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97166","description":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97166","description":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65780","description":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65780","description":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92518","description":"OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92518","description":"OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99242","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.917,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99244","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99245","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE OUTPATIENT NEW 20 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE OUTPATIENT NEW 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE OUTPATIENT NEW 45 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE OUTPATIENT NEW 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE OUTPATIENT VISIT 10 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE OUTPATIENT VISIT 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE OUTPATIENT VISIT 25 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE OUTPATIENT VISIT 40 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 5 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE OUTPATIENT VISIT 5 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99245","description":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99245","description":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.065,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.372,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99244","description":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99244","description":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99242","description":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99242","description":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OLIGOCLONAL IMMUNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83916","description":"OLIGOCLONAL IMMUNE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP EXTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49904","description":"OMENTAL FLAP EXTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1226.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1287.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP EXTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49904","description":"OMENTAL FLAP EXTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1226.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1287.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49905","description":"OMENTAL FLAP INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49905","description":"OMENTAL FLAP INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49255","description":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49255","description":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81520","description":"ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2319.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY BREAST MRNA GENE EXPRESSION 21 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81519","description":"ONCOLOGY BREAST MRNA GENE EXPRESSION 21 GENES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3578.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81528","description":"ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83951","description":"ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOPROTEIN HER-2/NEU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83950","description":"ONCOPROTEIN HER-2/NEU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58940","description":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58940","description":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58943","description":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1066.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58943","description":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1066.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50250","description":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50250","description":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50250","description":"OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38531","description":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38531","description":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32815","description":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2429.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2551.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32815","description":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2429.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2551.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49188","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1773.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1862.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49188","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1773.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1862.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49189","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2063.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2166.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49189","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2063.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2166.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49186","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1219.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49186","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1219.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49187","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49187","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49190","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2543.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2670.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49190","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2543.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2670.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35600","description":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35600","description":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64568","description":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64568","description":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64580","description":"OPEN IMPLANTATION NEA NEUROMUSCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64580","description":"OPEN IMPLANTATION NEA NEUROMUSCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64575","description":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64575","description":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64581","description":"OPEN IMPLANTATION NEA SACRAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64581","description":"OPEN IMPLANTATION NEA SACRAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64582","description":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64582","description":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28446","description":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28446","description":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN PERIPROSTHETIC CAPSULOTOMY BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19370","description":"OPEN PERIPROSTHETIC CAPSULOTOMY BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23616","description":"OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25525","description":"OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25526","description":"OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF ACUTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23410","description":"OPEN REPAIR OF ROTATOR CUFF ACUTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF ACUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23410","description":"OPEN REPAIR OF ROTATOR CUFF ACUTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23412","description":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23412","description":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27814","description":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27814","description":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28415","description":"OPEN TREATMENT CALCANEAL FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28415","description":"OPEN TREATMENT CALCANEAL FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28420","description":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28420","description":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27202","description":"OPEN TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27202","description":"OPEN TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27828","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1230.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1240.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27828","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1230.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1240.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27826","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27826","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27827","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27827","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27248","description":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27248","description":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23630","description":"OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24579","description":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24579","description":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28675","description":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28675","description":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT LUNATE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25695","description":"OPEN TREATMENT LUNATE DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT LUNATE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25695","description":"OPEN TREATMENT LUNATE DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21465","description":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21465","description":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27766","description":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27766","description":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26715","description":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26715","description":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METATARSAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28485","description":"OPEN TREATMENT METATARSAL FRACTURE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METATARSAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28485","description":"OPEN TREATMENT METATARSAL FRACTURE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21325","description":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21325","description":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT OF ULNAR SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25545","description":"OPEN TREATMENT OF ULNAR SHAFT FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21422","description":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21422","description":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27769","description":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27769","description":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27784","description":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27784","description":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL HUMERAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23615","description":"OPEN TREATMENT PROXIMAL HUMERAL FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28585","description":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28585","description":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28445","description":"OPEN TREATMENT TALUS FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28445","description":"OPEN TREATMENT TALUS FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSAL BONE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28555","description":"OPEN TREATMENT TARSAL BONE DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSAL BONE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28555","description":"OPEN TREATMENT TARSAL BONE DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28615","description":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28615","description":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21490","description":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21490","description":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25545","description":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25545","description":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25652","description":"OPEN TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25652","description":"OPEN TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23550","description":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23550","description":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE SHOULDER DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23660","description":"OPEN TX ACUTE SHOULDER DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE SHOULDER DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23660","description":"OPEN TX ACUTE SHOULDER DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24615","description":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24615","description":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26746","description":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26746","description":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25645","description":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25645","description":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26685","description":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26685","description":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26665","description":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26665","description":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23515","description":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23515","description":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21366","description":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1178.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21366","description":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1178.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21365","description":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21365","description":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21344","description":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1230.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1294.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21344","description":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1230.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1294.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21435","description":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21435","description":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21433","description":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1522.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1538.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1598.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1615.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21433","description":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1522.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1538.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1598.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1615.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21432","description":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21432","description":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21343","description":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21343","description":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED MALAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21360","description":"OPEN TX DEPRESSED MALAR FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED MALAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21360","description":"OPEN TX DEPRESSED MALAR FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21356","description":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21356","description":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27519","description":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27519","description":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27792","description":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27792","description":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26765","description":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26765","description":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25676","description":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25676","description":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27829","description":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27829","description":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27514","description":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27514","description":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27269","description":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27269","description":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27511","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27511","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27513","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27513","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28505","description":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28505","description":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28525","description":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28525","description":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21408","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21408","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21407","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21407","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21406","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21406","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24575","description":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24575","description":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24545","description":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24546","description":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27540","description":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27540","description":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26785","description":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26785","description":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27557","description":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27557","description":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27556","description":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27556","description":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27558","description":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27558","description":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21454","description":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21454","description":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21462","description":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1083.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1702.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1755.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1787.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1843.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21462","description":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1083.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1702.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1755.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1787.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1843.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21461","description":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1622.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1637.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1703.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21461","description":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1622.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1637.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1703.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26615","description":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26615","description":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28645","description":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28645","description":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24635","description":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24635","description":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21330","description":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21330","description":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21335","description":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21335","description":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21336","description":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21336","description":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21339","description":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21339","description":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21338","description":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21338","description":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21387","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21387","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21386","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21386","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21385","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21385","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21423","description":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21423","description":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26735","description":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26735","description":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27832","description":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27832","description":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24665","description":"OPEN TX RADIAL HEAD/NECK FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24665","description":"OPEN TX RADIAL HEAD/NECK FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24666","description":"OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25575","description":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25574","description":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25670","description":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25670","description":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28531","description":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28531","description":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23670","description":"OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23680","description":"OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23530","description":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23530","description":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21825","description":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21825","description":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28465","description":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28465","description":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27535","description":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":829.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27535","description":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":829.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25685","description":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25685","description":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27823","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27823","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27822","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27822","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37239","description":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1519.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1595.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37239","description":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1519.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1595.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37237","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37237","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37236","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2435.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2557.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37236","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2435.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2557.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37238","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3059.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3212.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37238","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3059.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3212.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92136","description":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92136","description":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76519","description":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76519","description":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92014","description":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92014","description":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92004","description":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92004","description":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92012","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92012","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92002","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92002","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76513","description":"OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH US DX B-SCAN AND QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76510","description":"OPH US DX B-SCAN AND QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE ESTAB PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92012","description":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE ESTAB PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92002","description":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92004","description":"OPHTH MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM and EVAL COMPRHNSV ESTAB PT 1 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92014","description":"OPHTH MEDICAL XM and EVAL COMPRHNSV ESTAB PT 1 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92018","description":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92019","description":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE LMTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76516","description":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76516","description":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC MUCOUS MEMBRANE TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95060","description":"OPHTHALMIC MUCOUS MEMBRANE TESTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC MUCOUS MEMBRANE TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95060","description":"OPHTHALMIC MUCOUS MEMBRANE TESTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76529","description":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76529","description":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76512","description":"OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76511","description":"OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76512","description":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76512","description":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76510","description":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76510","description":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76514","description":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76514","description":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76511","description":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76511","description":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMODYNAMOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92260","description":"OPHTHALMODYNAMOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMODYNAMOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92260","description":"OPHTHALMODYNAMOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34715","description":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34715","description":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34716","description":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34716","description":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34834","description":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34834","description":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34812","description":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34812","description":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34714","description":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34714","description":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34833","description":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34833","description":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34820","description":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34820","description":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34830","description":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1510.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1586.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34830","description":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1510.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1586.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34832","description":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1623.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1704.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34832","description":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1623.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1704.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34831","description":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1651.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1734.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34831","description":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1651.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1734.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY HYPOTHENAR MUSC TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26494","description":"OPPONENSPLASTY HYPOTHENAR MUSC TR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY HYPOTHENAR MUSC TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26494","description":"OPPONENSPLASTY HYPOTHENAR MUSC TR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26496","description":"OPPONENSPLASTY OTHER METHODS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26496","description":"OPPONENSPLASTY OTHER METHODS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26490","description":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26490","description":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY TDN TR W/GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26492","description":"OPPONENSPLASTY TDN TR W/GRF EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY TDN TR W/GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26492","description":"OPPONENSPLASTY TDN TR W/GRF EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33261","description":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33261","description":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPRCULECTOMY EXC PRICORONAL TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41821","description":"OPRCULECTOMY EXC PRICORONAL TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPRCULECTOMY EXC PRICORONAL TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41821","description":"OPRCULECTOMY EXC PRICORONAL TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92202","description":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92202","description":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92201","description":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92201","description":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67570","description":"OPTIC NERVE DECOMPRESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1171.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67570","description":"OPTIC NERVE DECOMPRESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1171.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92544","description":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92544","description":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTOKINETIC NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92534","description":"OPTOKINETIC NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTOKINETIC NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92534","description":"OPTOKINETIC NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23552","description":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23552","description":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27228","description":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1646.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1668.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1729.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1751.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27228","description":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1646.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1668.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1729.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1751.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27227","description":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1469.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1520.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27227","description":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1469.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1520.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27846","description":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27846","description":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27848","description":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27848","description":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27217","description":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27217","description":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26686","description":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26686","description":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21470","description":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21470","description":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21436","description":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1788.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1809.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1877.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1899.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21436","description":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1788.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1809.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1877.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1899.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25608","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25608","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25607","description":"OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25607","description":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25607","description":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27236","description":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27236","description":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27506","description":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27506","description":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27507","description":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27507","description":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23630","description":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23630","description":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27254","description":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27254","description":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27253","description":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":829.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27253","description":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":829.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24515","description":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24515","description":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24515","description":"OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24546","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24546","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24545","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24545","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27215","description":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27215","description":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21445","description":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21445","description":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21347","description":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21347","description":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21348","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21348","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21346","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21346","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21390","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21390","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21395","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21395","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27566","description":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27566","description":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27524","description":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27524","description":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE  and /DISLOCATION ELBO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE  and /DISLOCATION ELBO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24587","description":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24587","description":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27218","description":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27218","description":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PRIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24587","description":"OPTX PRIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23615","description":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23615","description":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23616","description":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23616","description":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27226","description":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27226","description":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24666","description":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24666","description":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25575","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25575","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25574","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25574","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25525","description":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25525","description":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25526","description":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25526","description":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23670","description":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23670","description":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23680","description":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23680","description":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27178","description":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27178","description":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27181","description":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27181","description":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27179","description":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27179","description":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27177","description":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27177","description":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27258","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27258","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27259","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1423.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1444.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27259","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1423.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1444.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23532","description":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23532","description":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27536","description":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27536","description":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27758","description":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27758","description":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22318","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1539.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22318","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1539.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22319","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1651.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1733.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22319","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1651.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1733.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22326","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1359.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1406.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1427.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22326","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1359.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1406.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1427.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22328","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22328","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22325","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1334.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22325","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1334.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22327","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1385.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22327","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1385.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0752","description":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0752","description":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.933,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.565,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95933","description":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95933","description":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67550","description":"ORBITAL IMPLANT INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67550","description":"ORBITAL IMPLANT INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT REMOVAL/REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67560","description":"ORBITAL IMPLANT REMOVAL/REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT REMOVAL/REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67560","description":"ORBITAL IMPLANT REMOVAL/REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21267","description":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1410.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1489.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21267","description":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1410.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1489.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21268","description":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1767.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1780.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1856.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1869.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21268","description":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1767.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1780.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1856.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1869.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61584","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2564.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2693.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61584","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2564.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2693.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61585","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2923.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3069.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61585","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2923.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3069.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61592","description":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2824.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2966.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61592","description":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2824.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2966.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67450","description":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1221.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1282.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67450","description":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1221.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1282.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67445","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1337.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1404.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67445","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1337.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1404.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67420","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1520.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1596.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67420","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1520.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1596.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67430","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1215.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1276.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67430","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1215.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1276.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67440","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67440","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67405","description":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67405","description":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67400","description":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67400","description":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67412","description":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67412","description":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67414","description":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67414","description":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67413","description":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67413","description":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54522","description":"ORCHIECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54522","description":"ORCHIECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54530","description":"ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54530","description":"ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54535","description":"ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54535","description":"ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54520","description":"ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54520","description":"ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54650","description":"ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54650","description":"ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIOPEXY INGUINAL OR SCROTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54640","description":"ORCHIOPEXY INGUINAL OR SCROTAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIOPEXY INGUINAL OR SCROTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54640","description":"ORCHIOPEXY INGUINAL OR SCROTAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACID 1 QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83921","description":"ORGANIC ACID 1 QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACIDS QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83919","description":"ORGANIC ACIDS QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83918","description":"ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPANTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70355","description":"ORTHOPANTOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPANTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70355","description":"ORTHOPANTOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC  and /PLEOPTIC TRAINING W/MEDICAL DIRECTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92065","description":"ORTHOPTIC  and /PLEOPTIC TRAINING W/MEDICAL DIRECTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92065","description":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92065","description":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92066","description":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92066","description":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97760","description":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97760","description":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97763","description":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","25","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","25","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97763","description":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","25","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","19","20","21","22","23","24","25","26","34","41","42","49","50","51","52","53","55","56","57","60","61","62","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATING TRACKING TEST W/RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92545","description":"OSCILLATING TRACKING TEST W/RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATING TRACKING TEST W/RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92545","description":"OSCILLATING TRACKING TEST W/RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSMOTIC FRAGILITY RBC INCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85557","description":"OSMOTIC FRAGILITY RBC INCUBATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSMOTIC FRAGILITY RBC UNINCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85555","description":"OSMOTIC FRAGILITY RBC UNINCUBATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28114","description":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28114","description":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28288","description":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28288","description":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28118","description":"OSTECTOMY CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28118","description":"OSTECTOMY CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28119","description":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28119","description":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28111","description":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28111","description":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28113","description":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28113","description":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28112","description":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28112","description":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY PRTL 5TH METAR HEAD SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28110","description":"OSTECTOMY PRTL 5TH METAR HEAD SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY PRTL 5TH METAR HEAD SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28110","description":"OSTECTOMY PRTL 5TH METAR HEAD SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY SCAPULA PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23190","description":"OSTECTOMY SCAPULA PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY SCAPULA PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23190","description":"OSTECTOMY SCAPULA PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY STERNUM PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21620","description":"OSTECTOMY STERNUM PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY STERNUM PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21620","description":"OSTECTOMY STERNUM PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY TARSAL COALITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28116","description":"OSTECTOMY TARSAL COALITION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY TARSAL COALITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28116","description":"OSTECTOMY TARSAL COALITION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20932","description":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20932","description":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27415","description":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27415","description":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27416","description":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27416","description":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98925","description":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98925","description":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98926","description":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98926","description":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98927","description":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98927","description":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98928","description":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98928","description":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98929","description":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98929","description":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY CARPAL BONE SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25394","description":"OSTEOPLASTY CARPAL BONE SHORTENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY CARPAL BONE SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25394","description":"OSTEOPLASTY CARPAL BONE SHORTENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21208","description":"OSTEOPLASTY FACIAL BONES AUGMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21208","description":"OSTEOPLASTY FACIAL BONES AUGMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21209","description":"OSTEOPLASTY FACIAL BONES REDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21209","description":"OSTEOPLASTY FACIAL BONES REDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27466","description":"OSTEOPLASTY FEMUR LENGTHENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1043.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1112.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27466","description":"OSTEOPLASTY FEMUR LENGTHENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1043.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1112.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27465","description":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27465","description":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24420","description":"OSTEOPLASTY HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24420","description":"OSTEOPLASTY HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26568","description":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26568","description":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25392","description":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25392","description":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25393","description":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25393","description":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25391","description":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25391","description":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25390","description":"OSTEOPLASTY RADIUS/ULNA SHORTENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25390","description":"OSTEOPLASTY RADIUS/ULNA SHORTENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA  and  FIBULA LENGTHENING/SHORTENIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27715","description":"OSTEOPLASTY TIBIA  and  FIBULA LENGTHENING/SHORTENIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1007.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":959.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27715","description":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1007.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":959.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27715","description":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1007.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":959.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27458","description":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1523.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1600.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27458","description":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1523.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1600.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27156","description":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1495.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1592.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27156","description":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1495.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1592.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27165","description":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27165","description":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1209.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27712","description":"OSTEOT MLT W/RELIGNMT IMED ROD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27454","description":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27454","description":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27457","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27457","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27455","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27455","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28312","description":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28312","description":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28310","description":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28310","description":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22216","description":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22216","description":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22226","description":"OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28305","description":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28305","description":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27713","description":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1621.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27713","description":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1621.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28309","description":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28309","description":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28306","description":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28306","description":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28308","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28308","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28307","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28307","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27140","description":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27140","description":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28300","description":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28300","description":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23485","description":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23485","description":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23480","description":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23480","description":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27161","description":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27161","description":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27450","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27450","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27448","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27448","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27707","description":"OSTEOTOMY FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27707","description":"OSTEOTOMY FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24400","description":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24400","description":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27146","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27146","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27151","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1388.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1478.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27151","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1388.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1478.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27147","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1303.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1348.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27147","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1303.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1348.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21198","description":"OSTEOTOMY MANDIBLE SEGMENTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":939.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21198","description":"OSTEOTOMY MANDIBLE SEGMENTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":939.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21199","description":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21199","description":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MAXILLA SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21206","description":"OSTEOTOMY MAXILLA SEGMENTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MAXILLA SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21206","description":"OSTEOTOMY MAXILLA SEGMENTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY METACARPAL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26565","description":"OSTEOTOMY METACARPAL EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY METACARPAL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26565","description":"OSTEOTOMY METACARPAL EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27712","description":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27712","description":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PELVIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27158","description":"OSTEOTOMY PELVIS BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1309.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PELVIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27158","description":"OSTEOTOMY PELVIS BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1309.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PHALANX FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26567","description":"OSTEOTOMY PHALANX FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PHALANX FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26567","description":"OSTEOTOMY PHALANX FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25365","description":"OSTEOTOMY RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25365","description":"OSTEOTOMY RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS DISTAL THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25350","description":"OSTEOTOMY RADIUS DISTAL THIRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS DISTAL THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25350","description":"OSTEOTOMY RADIUS DISTAL THIRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25355","description":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25355","description":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22208","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22208","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22207","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2112.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2135.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2217.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2242.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22207","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2112.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2135.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2217.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2242.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22206","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2155.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2192.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2263.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2302.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22206","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2155.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2192.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2263.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2302.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22210","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1576.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1655.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1682.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22210","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1576.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1655.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1682.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22214","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1337.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1360.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1404.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1428.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22214","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1337.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1360.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1404.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1428.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22212","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1403.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22212","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1362.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1403.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22220","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1502.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1534.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22220","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1502.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1534.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22226","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22226","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22224","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22224","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22222","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1563.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1590.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1642.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1670.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22222","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1563.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1590.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1642.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1670.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22220","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1502.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1534.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22224","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22222","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1563.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1590.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1642.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1670.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28302","description":"OSTEOTOMY TALUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28302","description":"OSTEOTOMY TALUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28304","description":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28304","description":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27705","description":"OSTEOTOMY TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27705","description":"OSTEOTOMY TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27709","description":"OSTEOTOMY TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27709","description":"OSTEOTOMY TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1069.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25360","description":"OSTEOTOMY ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25360","description":"OSTEOTOMY ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63295","description":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63295","description":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61345","description":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1829.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1920.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61345","description":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1829.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1920.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82042","description":"OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9012","description":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9012","description":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92502","description":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92502","description":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69300","description":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69300","description":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33478","description":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1361.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33478","description":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1361.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93798","description":"OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93797","description":"OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OVA AND PARASITES DIRECT SMEARS CONCENTRATION  AND  ID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87177","description":"OVA AND PARASITES DIRECT SMEARS CONCENTRATION  AND  ID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVARIAN CYSTECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58925","description":"OVARIAN CYSTECTOMY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OVARIAN CYSTECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58925","description":"OVARIAN CYSTECTOMY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OVERSIZE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2780","description":"OVERSIZE LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERSIZE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2780","description":"OVERSIZE LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42225","description":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42225","description":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42200","description":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42200","description":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42210","description":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42210","description":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPHARYNGOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42145","description":"PALATOPHARYNGOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPHARYNGOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42145","description":"PALATOPHARYNGOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42215","description":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42215","description":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42220","description":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42220","description":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42205","description":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42205","description":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81307","description":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81307","description":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PALINGEN XPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4173","description":"PALINGEN OR PALINGEN XPLUS PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PALINGEN XPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4173","description":"PALINGEN OR PALINGEN XPLUS PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4174","description":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4174","description":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48155","description":"PANCREATECTOMY TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1603.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1683.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48155","description":"PANCREATECTOMY TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1603.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1683.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48160","description":"PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1603.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1683.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48160","description":"PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1603.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1683.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48548","description":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1473.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1546.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48548","description":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1473.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1546.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATORRHAPHY INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48545","description":"PANCREATORRHAPHY INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATORRHAPHY INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48545","description":"PANCREATORRHAPHY INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65815","description":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65815","description":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65810","description":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65810","description":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65800","description":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65800","description":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60505","description":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60505","description":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60512","description":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60512","description":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT  and  CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78072","description":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT  and  CT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT  and  CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78072","description":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT  and  CT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78070","description":"PARATHYROID PLANAR IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78070","description":"PARATHYROID PLANAR IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78071","description":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78071","description":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60502","description":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60502","description":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60500","description":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60500","description":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57423","description":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57423","description":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57284","description":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57284","description":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57285","description":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57285","description":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11057","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11057","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11055","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11055","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11056","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11056","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42507","description":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42507","description":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42509","description":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42509","description":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42510","description":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42510","description":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23180","description":"PARTIAL EXCISION BONE CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23180","description":"PARTIAL EXCISION BONE CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27641","description":"PARTIAL EXCISION BONE FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27641","description":"PARTIAL EXCISION BONE FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24140","description":"PARTIAL EXCISION BONE HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24140","description":"PARTIAL EXCISION BONE HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26230","description":"PARTIAL EXCISION BONE METACARPAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26230","description":"PARTIAL EXCISION BONE METACARPAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24147","description":"PARTIAL EXCISION BONE OLECRANON PROCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24147","description":"PARTIAL EXCISION BONE OLECRANON PROCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23184","description":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23184","description":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24145","description":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24145","description":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25151","description":"PARTIAL EXCISION BONE RADIUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25151","description":"PARTIAL EXCISION BONE RADIUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23182","description":"PARTIAL EXCISION BONE SCAPULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23182","description":"PARTIAL EXCISION BONE SCAPULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28120","description":"PARTIAL EXCISION BONE TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28120","description":"PARTIAL EXCISION BONE TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27640","description":"PARTIAL EXCISION BONE TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27640","description":"PARTIAL EXCISION BONE TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25150","description":"PARTIAL EXCISION BONE ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25150","description":"PARTIAL EXCISION BONE ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DEEP PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27071","description":"PARTIAL EXCISION DEEP PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DEEP PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27071","description":"PARTIAL EXCISION DEEP PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26236","description":"PARTIAL EXCISION DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26236","description":"PARTIAL EXCISION DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26235","description":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26235","description":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION SUPERFICIAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27070","description":"PARTIAL EXCISION SUPERFICIAL PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION SUPERFICIAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27070","description":"PARTIAL EXCISION SUPERFICIAL PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56700","description":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56700","description":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31382","description":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1846.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1938.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31382","description":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1846.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1938.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31370","description":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1798.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1888.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31370","description":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1798.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1888.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31380","description":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1770.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31380","description":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1770.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31375","description":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1710.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1795.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31375","description":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1710.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1795.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23130","description":"PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTICAL EXCISION BONE PHALANX TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28124","description":"PARTICAL EXCISION BONE PHALANX TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICAL EXCISION BONE PHALANX TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28124","description":"PARTICAL EXCISION BONE PHALANX TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86403","description":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION TITER EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86406","description":"PARTICLE AGGLUTINATION TITER EACH ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TEST SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95044","description":"PATCH/APPLICATION TEST SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95044","description":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95044","description":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATELLECTOMY/HEMIPATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27350","description":"PATELLECTOMY/HEMIPATELLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PATELLECTOMY/HEMIPATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27350","description":"PATELLECTOMY/HEMIPATELLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88332","description":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88332","description":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80506","description":"PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80506","description":"PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80505","description":"PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80505","description":"PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80504","description":"PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80504","description":"PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80503","description":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80503","description":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94016","description":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94016","description":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94015","description":"PATIENT-INITIATED SPIROMETRIC RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94015","description":"PATIENT-INITIATED SPIROMETRIC RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TL COR ATHERECT W/RX ELUT IC STENT; 1 MCA/BR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9602","description":"PC TL COR ATHERECT W/RX ELUT IC STENT; 1 MCA/BR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TL REV CHRN TOT OCCL CA CA BR/CABG; 1 VES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9607","description":"PC TL REV CHRN TOT OCCL CA CA BR/CABG; 1 VES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TL REV CHRN TOT OCCL; EA ADD CA CA BR/BP GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9608","description":"PC TL REV CHRN TOT OCCL; EA ADD CA CA BR/BP GFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TL REV OF/THRU CABG COMB DE IC STNT; 1 VES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9604","description":"PC TL REV OF/THRU CABG COMB DE IC STNT; 1 VES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TL REV OF/THRU CABG; EA ADD BR SUBTEND BP GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9605","description":"PC TL REV OF/THRU CABG; EA ADD BR SUBTEND BP GFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TRNSCTH PLCMT RX ELUT IC STENTS; 1 MAJ CA/BR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9600","description":"PC TRNSCTH PLCMT RX ELUT IC STENTS; 1 MAJ CA/BR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TRNSCTH PLCMT RX-ELUT IC STNT;EA ADD BR MCA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9601","description":"PC TRNSCTH PLCMT RX-ELUT IC STNT;EA ADD BR MCA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81313","description":"PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV13 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90670","description":"PCV13 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV13 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90670","description":"PCV13 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV15 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90671","description":"PCV15 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV15 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90671","description":"PCV15 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV20 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90677","description":"PCV20 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV20 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90677","description":"PCV20 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV21 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90684","description":"PCV21 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV21 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90684","description":"PCV21 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81314","description":"PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96573","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96573","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96567","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96567","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96570","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96570","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96571","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96571","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC APNEA MONITOR ATTACHMENT PHYS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94774","description":"PEDIATRIC APNEA MONITOR ATTACHMENT PHYS I AND R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC APNEA MONITOR PHYS/QHP REVIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94777","description":"PEDIATRIC APNEA MONITOR PHYS/QHP REVIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC HOME APNEA MNTR EVENT RECORDING PR 30D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94774","description":"PEDIATRIC HOME APNEA MNTR EVENT RECORDING PR 30D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC HOME APNEA MNTR EVENT RECORDING PR 30D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94774","description":"PEDIATRIC HOME APNEA MNTR EVENT RECORDING PR 30D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94777","description":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94777","description":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEL EXNTJ GYNECOLOGIC MAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58240","description":"PEL EXNTJ GYNECOLOGIC MAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2391.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2511.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2599.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2729.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PEL EXNTJ GYNECOLOGIC MAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58240","description":"PEL EXNTJ GYNECOLOGIC MAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2391.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2511.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2599.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2729.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38770","description":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38770","description":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57410","description":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57410","description":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45126","description":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2399.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2519.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45126","description":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2399.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2519.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COMPLETE MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51597","description":"PELVIC EXENTERATION COMPLETE MALIGNANCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2083.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COMPLETE MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51597","description":"PELVIC EXENTERATION COMPLETE MALIGNANCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2083.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC FIXATION OTHER THAN SACRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22848","description":"PELVIC FIXATION OTHER THAN SACRUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC FIXATION OTHER THAN SACRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22848","description":"PELVIC FIXATION OTHER THAN SACRUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54304","description":"PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54304","description":"PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PENIS STRAIGHTENING CHORDEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54300","description":"PENIS STRAIGHTENING CHORDEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PENIS STRAIGHTENING CHORDEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54300","description":"PENIS STRAIGHTENING CHORDEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94642","description":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94642","description":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2545","description":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2545","description":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93582","description":"PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93582","description":"PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62268","description":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62268","description":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74355","description":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74355","description":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93583","description":"PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93583","description":"PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MALAR AREA FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21355","description":"PERCUTANEOUS TX MALAR AREA FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MALAR AREA FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21355","description":"PERCUTANEOUS TX MALAR AREA FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21452","description":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21452","description":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21340","description":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21340","description":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57289","description":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57289","description":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19371","description":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19371","description":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93287","description":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93287","description":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93286","description":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93286","description":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33016","description":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33016","description":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33020","description":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33020","description":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56810","description":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56810","description":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99392","description":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99392","description":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99394","description":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99394","description":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99395","description":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99395","description":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99396","description":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99396","description":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99393","description":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99393","description":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99397","description":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99397","description":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODONTAL MUCOSAL GRAFTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41870","description":"PERIODONTAL MUCOSAL GRAFTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODONTAL MUCOSAL GRAFTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41870","description":"PERIODONTAL MUCOSAL GRAFTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21260","description":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1205.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1265.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21260","description":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1205.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1265.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21261","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2148.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2255.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21261","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2148.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2255.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21263","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1973.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1987.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2071.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2086.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21263","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1973.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1987.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2071.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2086.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL VEIN RENIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80417","description":"PERIPHERAL VEIN RENIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPROSTHETIC CAPSULECTOMY BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19371","description":"PERIPROSTHETIC CAPSULECTOMY BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45520","description":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45520","description":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49084","description":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49084","description":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL-VENOUS SHUNT PATENCY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78291","description":"PERITONEAL-VENOUS SHUNT PATENCY TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL-VENOUS SHUNT PATENCY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78291","description":"PERITONEAL-VENOUS SHUNT PATENCY TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEOGRAM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74190","description":"PERITONEOGRAM RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEOGRAM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74190","description":"PERITONEOGRAM RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERM IMPL CONTRACEPTIVE TUBAL OCCL DEV  AND  DEL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4264","description":"PERM IMPL CONTRACEPTIVE TUBAL OCCL DEV  AND  DEL SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1416.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1540.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERM IMPL CONTRACEPTIVE TUBAL OCCL DEV  AND  DEL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4264","description":"PERM IMPL CONTRACEPTIVE TUBAL OCCL DEV  AND  DEL SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1416.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1540.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERPHENZAINE 4 MG ORAL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0175","description":"PERPHENZAINE 4 MG ORAL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERPHENZAINE 4 MG ORAL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0175","description":"PERPHENZAINE 4 MG ORAL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34713","description":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34713","description":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61645","description":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61645","description":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36837","description":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36837","description":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36836","description":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36836","description":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19287","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19287","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19285","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19285","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19283","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19283","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19288","description":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19288","description":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19284","description":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19284","description":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19286","description":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19286","description":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33340","description":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33340","description":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19281","description":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19281","description":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19282","description":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19282","description":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50436","description":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50436","description":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50437","description":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50437","description":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32557","description":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32557","description":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32556","description":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32556","description":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22526","description":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22526","description":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22527","description":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22527","description":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50081","description":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50081","description":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50080","description":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50080","description":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33902","description":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33902","description":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33903","description":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33903","description":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33901","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33901","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33900","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33900","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33904","description":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33904","description":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33019","description":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33019","description":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33018","description":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33018","description":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33017","description":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33017","description":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43762","description":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43762","description":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43763","description":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43763","description":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10035","description":"PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10036","description":"PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25606","description":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25606","description":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24582","description":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24582","description":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24566","description":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24566","description":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24538","description":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24538","description":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28476","description":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28476","description":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27216","description":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27216","description":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28436","description":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28436","description":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25651","description":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25651","description":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28406","description":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28406","description":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25671","description":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25671","description":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92928","description":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92928","description":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92930","description":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92930","description":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36906","description":"PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4424.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4645.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4809.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5049.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36906","description":"PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4424.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4645.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4809.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5049.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36905","description":"PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1856.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1949.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2017.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2118.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36905","description":"PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1856.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1949.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2017.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2118.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36904","description":"PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1474.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1548.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1682.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36904","description":"PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1474.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1548.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1682.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TL COR ATHERECT; EA ADD BR MAJ CORONARY ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9603","description":"PERQ TL COR ATHERECT; EA ADD BR MAJ CORONARY ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TL REV AC TOTAL/SUBTOTAL OCCLUSION 1 VES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9606","description":"PERQ TL REV AC TOTAL/SUBTOTAL OCCLUSION 1 VES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93591","description":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93591","description":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93590","description":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93590","description":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93592","description":"PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93592","description":"PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33897","description":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33897","description":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92920","description":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92920","description":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART and /BRANCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92924","description":"PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART and /BRANCHES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART and /BRANCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92924","description":"PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART and /BRANCHES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART and /BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92933","description":"PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART and /BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART and /BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92933","description":"PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART and /BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92973","description":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92973","description":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92945","description":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92945","description":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92943","description":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92943","description":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92937","description":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92937","description":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92941","description":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92941","description":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22513","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4732.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4969.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5110.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5365.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22513","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4732.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4969.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5110.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5365.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22515","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2414.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2535.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2625.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2756.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22515","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2414.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2535.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2625.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2756.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22514","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4710.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4946.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5085.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5339.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22514","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4710.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4946.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5085.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5339.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22511","description":"PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1523.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1600.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1606.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22511","description":"PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1523.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1600.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1606.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22510","description":"PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1525.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1601.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1695.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22510","description":"PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1525.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1601.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1695.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PERSONAL CARE SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1019","description":"PERSONAL CARE SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSONAL CARE SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1019","description":"PERSONAL CARE SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78815","description":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1309.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1506.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78815","description":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1309.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1506.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78814","description":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1424.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1495.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2006.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2095.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2106.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2200.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78814","description":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1424.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1495.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2006.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2095.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2106.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2200.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78816","description":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1507.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2319.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2418.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2435.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2539.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78816","description":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1507.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2319.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2418.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2435.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2539.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78811","description":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1309.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1439.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78811","description":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1309.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1439.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING SKULL BASE TO MID-THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78812","description":"PET IMAGING SKULL BASE TO MID-THIGH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING SKULL BASE TO MID-THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78812","description":"PET IMAGING SKULL BASE TO MID-THIGH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1831.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78813","description":"PET IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1794.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1884.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78813","description":"PET IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1794.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1884.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69530","description":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1487.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1561.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69530","description":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1487.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1561.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83986","description":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHALANGECTOMY TOE EACH TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28150","description":"PHALANGECTOMY TOE EACH TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHALANGECTOMY TOE EACH TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28150","description":"PHALANGECTOMY TOE EACH TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOESOPHAGEAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42953","description":"PHARYNGOESOPHAGEAL REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOESOPHAGEAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42953","description":"PHARYNGOESOPHAGEAL REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31390","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2464.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2588.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31390","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2464.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2588.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31395","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2585.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2715.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31395","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2585.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2715.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42950","description":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42950","description":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42955","description":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42955","description":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99195","description":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99195","description":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHATIDYLGLYCEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84081","description":"PHOSPHATIDYLGLYCEROL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOGLUCONATE 6-DEHYD RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84085","description":"PHOSPHOGLUCONATE 6-DEHYD RBC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOLIPID NEUTRALIZATION HEXAGONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85598","description":"PHOSPHOLIPID NEUTRALIZATION HEXAGONAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOLIPID NEUTRALIZATION PLATELET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85597","description":"PHOSPHOLIPID NEUTRALIZATION PLATELET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TEST SPECIFY NUMBER TSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95052","description":"PHOTO PATCH TEST SPECIFY NUMBER TSTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95052","description":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95052","description":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95056","description":"PHOTO TESTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95056","description":"PHOTO TESTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96913","description":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96913","description":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS AND ULTRAVIOLET PUVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS AND ULTRAVIOLET PUVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96910","description":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96910","description":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOPHERESIS EXTRACORPOREAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36522","description":"PHOTOPHERESIS EXTRACORPOREAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOPHERESIS EXTRACORPOREAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36522","description":"PHOTOPHERESIS EXTRACORPOREAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99183","description":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99183","description":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99078","description":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99078","description":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93798","description":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93798","description":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93797","description":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93797","description":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PINWORM EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87172","description":"PINWORM EXAMINATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65778","description":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65778","description":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65779","description":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65779","description":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48000","description":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1656.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1739.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48000","description":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1656.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1739.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48001","description":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2027.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2128.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48001","description":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2027.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2128.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67335","description":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67335","description":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT CHOLEDOCHAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47801","description":"PLACEMENT CHOLEDOCHAL STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT CHOLEDOCHAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47801","description":"PLACEMENT CHOLEDOCHAL STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44300","description":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44300","description":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49412","description":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49412","description":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36680","description":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36680","description":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46020","description":"PLACEMENT SETON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46020","description":"PLACEMENT SETON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34709","description":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34709","description":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA CRYOPRECIPITATE RED PATHOGEN REDUC EA UN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9025","description":"PLASMA CRYOPRECIPITATE RED PATHOGEN REDUC EA UN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA CRYOPRECIPITATE RED PATHOGEN REDUC EA UN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9025","description":"PLASMA CRYOPRECIPITATE RED PATHOGEN REDUC EA UN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA CRYOPRECIPITATE REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9044","description":"PLASMA CRYOPRECIPITATE REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA CRYOPRECIPITATE REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9044","description":"PLASMA CRYOPRECIPITATE REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78111","description":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78111","description":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78110","description":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78110","description":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC OPERATION PENIS INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54440","description":"PLASTIC OPERATION PENIS INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC OPERATION PENIS INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54440","description":"PLASTIC OPERATION PENIS INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54385","description":"PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54385","description":"PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR CANALICULI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68700","description":"PLASTIC REPAIR CANALICULI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR CANALICULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68700","description":"PLASTIC REPAIR CANALICULI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR INTROITUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56800","description":"PLASTIC REPAIR INTROITUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR INTROITUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56800","description":"PLASTIC REPAIR INTROITUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR URETHROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57230","description":"PLASTIC REPAIR URETHROCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR URETHROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57230","description":"PLASTIC REPAIR URETHROCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS CORRECT ANGULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54360","description":"PLASTIC RPR PENIS CORRECT ANGULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS CORRECT ANGULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54360","description":"PLASTIC RPR PENIS CORRECT ANGULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54380","description":"PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54380","description":"PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54390","description":"PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54390","description":"PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57220","description":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57220","description":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET AGGREGATION IN VITRO EACH AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85576","description":"PLATELET AGGREGATION IN VITRO EACH AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET AGGREGATION IN VITRO EACH AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85576","description":"PLATELET AGGREGATION IN VITRO EACH AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET RICH PLASMA EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9020","description":"PLATELET RICH PLASMA EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET RICH PLASMA EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9020","description":"PLATELET RICH PLASMA EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78191","description":"PLATELET SURVIVAL STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78191","description":"PLATELET SURVIVAL STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9019","description":"PLATELETS EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9019","description":"PLATELETS EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9032","description":"PLATELETS IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9032","description":"PLATELETS IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS LEUKOCYTES REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9031","description":"PLATELETS LEUKOCYTES REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS LEUKOCYTES REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9031","description":"PLATELETS LEUKOCYTES REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS LEUKOCYTES REDUCED IRRADIATED EA UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9033","description":"PLATELETS LEUKOCYTES REDUCED IRRADIATED EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS LEUKOCYTES REDUCED IRRADIATED EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9033","description":"PLATELETS LEUKOCYTES REDUCED IRRADIATED EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS PHERESIS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9034","description":"PLATELETS PHERESIS EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS PHERESIS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9034","description":"PLATELETS PHERESIS EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS PHERESIS IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9036","description":"PLATELETS PHERESIS IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS PHERESIS IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9036","description":"PLATELETS PHERESIS IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS PHERESIS LEUKOCYTES REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9035","description":"PLATELETS PHERESIS LEUKOCYTES REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS PHERESIS LEUKOCYTES REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9035","description":"PLATELETS PHERESIS LEUKOCYTES REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATLTS PHERES LEUKOCYTES RDUC IRRADATD EA UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9037","description":"PLATLTS PHERES LEUKOCYTES RDUC IRRADATD EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATLTS PHERES LEUKOCYTES RDUC IRRADATD EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9037","description":"PLATLTS PHERES LEUKOCYTES RDUC IRRADATD EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCG2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81320","description":"PLCG2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCG2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81320","description":"PLCG2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33982","description":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1669.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1752.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33982","description":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1669.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1752.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32215","description":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32215","description":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32310","description":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32310","description":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47541","description":"PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47541","description":"PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47538","description":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47538","description":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47539","description":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47539","description":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47540","description":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47540","description":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33886","description":"PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19297","description":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19297","description":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19296","description":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3168.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3326.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19296","description":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3168.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3326.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34813","description":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34813","description":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55876","description":"PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55876","description":"PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50432","description":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50432","description":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50433","description":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50433","description":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32553","description":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32553","description":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33883","description":"PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19298","description":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19298","description":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10035","description":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10035","description":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10036","description":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10036","description":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50695","description":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50695","description":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50693","description":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50693","description":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50694","description":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50694","description":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35685","description":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35685","description":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34839","description":"PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34839","description":"PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSMA MX DONR SOLVNT/DETRGNT TREATD FRZN EA U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9023","description":"PLSMA MX DONR SOLVNT/DETRGNT TREATD FRZN EA U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSMA MX DONR SOLVNT/DETRGNT TREATD FRZN EA U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9023","description":"PLSMA MX DONR SOLVNT/DETRGNT TREATD FRZN EA U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40702","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40702","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40701","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40701","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40700","description":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40700","description":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40720","description":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40720","description":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40761","description":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40761","description":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42500","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42500","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42505","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42505","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT HLA-MATCHD LEUKOCYTES RDUC APHERES/PHERE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9052","description":"PLT HLA-MATCHD LEUKOCYTES RDUC APHERES/PHERE EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT HLA-MATCHD LEUKOCYTES RDUC APHERES/PHERE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9052","description":"PLT HLA-MATCHD LEUKOCYTES RDUC APHERES/PHERE EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT LEUKOCYTES RDUC CMV-NEG APHERES/PHERES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9055","description":"PLT LEUKOCYTES RDUC CMV-NEG APHERES/PHERES EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT LEUKOCYTES RDUC CMV-NEG APHERES/PHERES EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9055","description":"PLT LEUKOCYTES RDUC CMV-NEG APHERES/PHERES EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9053","description":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9053","description":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81315","description":"PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81316","description":"PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMP22 GENE ANAL DUPLICATION/DELETION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81324","description":"PMP22 GENE ANAL DUPLICATION/DELETION ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMP22 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81325","description":"PMP22 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMP22 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81326","description":"PMP22 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81319","description":"PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS FULL SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81317","description":"PMS2 GENE ANALYSIS FULL SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81318","description":"PMS2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48146","description":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1660.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1743.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48146","description":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1660.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1743.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48140","description":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1381.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1450.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48140","description":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1381.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1450.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48145","description":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1439.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1511.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48145","description":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1439.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1511.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48154","description":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2547.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2675.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48154","description":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2547.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2675.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48150","description":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2740.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2877.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48150","description":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2740.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2877.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48153","description":"PNCRTECT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2728.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2865.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48153","description":"PNCRTECT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2728.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2865.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48152","description":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2536.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2663.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48152","description":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2536.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2663.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32940","description":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32940","description":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32200","description":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32200","description":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32960","description":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32960","description":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55000","description":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55000","description":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90713","description":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90713","description":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2624","description":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2624","description":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLLICIZATION DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26550","description":"POLLICIZATION DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1464.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1464.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POLLICIZATION DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26550","description":"POLLICIZATION DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1464.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1464.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95782","description":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95782","description":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95783","description":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95783","description":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95810","description":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95810","description":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95811","description":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95811","description":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95808","description":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95808","description":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POROUS COLL MATRIX BONE FILLER STRIP PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9362","description":"POROUS COLL MATRIX BONE FILLER STRIP PER 0.5 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHOBILINOGEN URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84106","description":"PORPHOBILINOGEN URINE QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84126","description":"PORPHYRINS FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS URINE QUALITATAIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84119","description":"PORPHYRINS URINE QUALITATAIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS URINE QUANTITATION  AND  FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84120","description":"PORPHYRINS URINE QUANTITATION  AND  FRACTIONATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47701","description":"PORTOENETEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1530.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1606.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PORTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47701","description":"PORTOENETEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1530.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1606.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92532","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92542","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92532","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92542","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57250","description":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57250","description":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POST-CATARACT LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66821","description":"POST-CATARACT LASER SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-CATARACT LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66821","description":"POST-CATARACT LASER SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2632","description":"POSTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2632","description":"POSTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22840","description":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22840","description":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22844","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22844","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22842","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22842","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22843","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22843","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59430","description":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59430","description":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTASSIUM SERUM PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84132","description":"POTASSIUM SERUM PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTASSIUM URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84133","description":"POTASSIUM URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90732","description":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90732","description":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45112","description":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1582.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1661.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45112","description":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1582.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1661.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45119","description":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1639.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1721.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45119","description":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1639.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1721.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45110","description":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1590.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1669.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45110","description":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1590.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1669.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45120","description":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1411.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45120","description":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1411.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45121","description":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1540.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1617.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45121","description":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1540.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1617.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45111","description":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45111","description":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45114","description":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1599.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1679.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45114","description":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1599.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1679.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45116","description":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1349.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1417.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45116","description":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1349.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1417.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45113","description":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45113","description":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/O ANAST PRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45123","description":"PRCTECT PRTL W/O ANAST PRNL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/O ANAST PRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45123","description":"PRCTECT PRTL W/O ANAST PRNL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREALBUMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84134","description":"PREALBUMIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANCY-ASSOCIATED PLASMA PROTEIN-A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84163","description":"PREGNANCY-ASSOCIATED PLASMA PROTEIN-A","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANEDIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84135","description":"PREGNANEDIOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANETRIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84138","description":"PREGNANETRIOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84140","description":"PREGNENOLONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15004","description":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15004","description":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15005","description":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15005","description":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15002","description":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15002","description":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15003","description":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15003","description":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19294","description":"PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19396","description":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19396","description":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49013","description":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49013","description":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95145","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95145","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95146","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95146","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95147","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95147","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95148","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95148","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95149","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95149","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95170","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95170","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19294","description":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19294","description":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95165","description":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95165","description":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"PRESS-ON LENS  FRESNELL PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2718","description":"PRESS-ON LENS  FRESNELL PRISM PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESS-ON LENS  FRESNELL PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2718","description":"PRESS-ON LENS  FRESNELL PRISM PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94640","description":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94640","description":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93279","description":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93279","description":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93260","description":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93260","description":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93285","description":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93285","description":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93284","description":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93284","description":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93283","description":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93283","description":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93282","description":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93282","description":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33031","description":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2131.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2238.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33031","description":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2131.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2238.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33030","description":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1723.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1810.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33030","description":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1723.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1810.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37184","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37184","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37185","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37185","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2715","description":"PRISM PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2715","description":"PRISM PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIV DUTY/INDEPEND NRS SERVICE LIC UP 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1000","description":"PRIV DUTY/INDEPEND NRS SERVICE LIC UP 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIV DUTY/INDEPEND NRS SERVICE LIC UP 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1000","description":"PRIV DUTY/INDEPEND NRS SERVICE LIC UP 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68840","description":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68840","description":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68815","description":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68815","description":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68811","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68811","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68810","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68810","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68816","description":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68816","description":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCALCITONIN (PCT)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84145","description":"PROCALCITONIN (PCT)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCENTA PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4310","description":"PROCENTA PER 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2370.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCENTA PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4310","description":"PROCENTA PER 100 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2370.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45540","description":"PROCTOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45540","description":"PROCTOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45541","description":"PROCTOPEXY PERINEAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45541","description":"PROCTOPEXY PERINEAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45550","description":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45550","description":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45505","description":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45505","description":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45500","description":"PROCTOPLASTY STENOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45500","description":"PROCTOPLASTY STENOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45300","description":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45300","description":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45320","description":"PROCTOSGMDSC RIGID ABLATION LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45320","description":"PROCTOSGMDSC RIGID ABLATION LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45317","description":"PROCTOSGMDSC RIGID CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45317","description":"PROCTOSGMDSC RIGID CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45321","description":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45321","description":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45308","description":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45308","description":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45309","description":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45309","description":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45315","description":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45315","description":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45327","description":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45327","description":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45305","description":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45305","description":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45303","description":"PROCTOSGMDSC RIGID W/DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45303","description":"PROCTOSGMDSC RIGID W/DILATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45307","description":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45307","description":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95115","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95115","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95117","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95117","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGENAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGENAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93280","description":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93280","description":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93281","description":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93281","description":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMED STIMJ  AND  PACG AFTER IV DRUG NFS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93623","description":"PROGRAMMED STIMJ  AND  PACG AFTER IV DRUG NFS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93623","description":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93623","description":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99359","description":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99359","description":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.712,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.483,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.483,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.016,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67141","description":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67141","description":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67145","description":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67145","description":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67145","description":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67141","description":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25490","description":"PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD and UL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25492","description":"PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD and UL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27495","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27495","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27745","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27745","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25491","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27187","description":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27187","description":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23490","description":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23490","description":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24498","description":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24498","description":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23491","description":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23491","description":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25490","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25490","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25492","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25492","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25491","description":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25491","description":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0102","description":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0102","description":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55815","description":"PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1520.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1545.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1596.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1622.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55815","description":"PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1520.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1545.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1596.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1622.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55810","description":"PROSTATECTOMY PERINEAL RADICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55810","description":"PROSTATECTOMY PERINEAL RADICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55812","description":"PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1388.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1411.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55812","description":"PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1388.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1411.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1482.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL SUBTOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55801","description":"PROSTATECTOMY PERINEAL SUBTOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL SUBTOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55801","description":"PROSTATECTOMY PERINEAL SUBTOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY RETROPUBIC SUBTOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55831","description":"PROSTATECTOMY RETROPUBIC SUBTOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY RETROPUBIC SUBTOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55831","description":"PROSTATECTOMY RETROPUBIC SUBTOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55840","description":"PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55840","description":"PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55821","description":"PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55821","description":"PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55725","description":"PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55725","description":"PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55720","description":"PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55720","description":"PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTECT RETROPUB RAD W/WO NRV SPAR  and  BI PLV LYM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55845","description":"PROSTECT RETROPUB RAD W/WO NRV SPAR  and  BI PLV LYM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1176.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1234.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1256.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTECT RETROPUB RAD W/WO NRV SPAR  and  BI PLV LYM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55845","description":"PROSTECT RETROPUB RAD W/WO NRV SPAR  and  BI PLV LYM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1176.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1234.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1256.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55842","description":"PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55842","description":"PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23335","description":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23335","description":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24160","description":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24160","description":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1179.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23334","description":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23334","description":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24164","description":"PROSTHESIS REMOVAL RADIAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24164","description":"PROSTHESIS REMOVAL RADIAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE PLASTIC CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2623","description":"PROSTHETIC EYE PLASTIC CUSTOM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE PLASTIC CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2623","description":"PROSTHETIC EYE PLASTIC CUSTOM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97761","description":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97761","description":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ALYS WSTRN BLOT I AND R IMMUNOLOGICAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88372","description":"PROTEIN ALYS WSTRN BLOT I AND R IMMUNOLOGICAL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP and REPO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88371","description":"PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP and REPO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ELECTROP FXJ AND QUAN OTH FLUS CONCENTRATI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84166","description":"PROTEIN ELECTROP FXJ AND QUAN OTH FLUS CONCENTRATI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ELECTROPHORETIC FRACTJ AND QUANTJ SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84165","description":"PROTEIN ELECTROPHORETIC FRACTJ AND QUANTJ SERUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL REFRACTOMETRY ANY SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84160","description":"PROTEIN TOTAL REFRACTOMETRY ANY SRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84157","description":"PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL XCPT REFRACTOMETRY URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84156","description":"PROTEIN TOTAL XCPT REFRACTOMETRY URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84182","description":"PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN WESTRN BLOT I and R BLOOD/OTHER FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84181","description":"PROTEIN WESTRN BLOT I and R BLOOD/OTHER FLUID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84155","description":"PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85610","description":"PROTHROMBIN TIME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85611","description":"PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77525","description":"PROTON TX DELIVERY COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1111.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77525","description":"PROTON TX DELIVERY COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1111.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77523","description":"PROTON TX DELIVERY INTERMEDIATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77523","description":"PROTON TX DELIVERY INTERMEDIATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77522","description":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77522","description":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77520","description":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77520","description":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTOPORPHYRIN RBC QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84202","description":"PROTOPORPHYRIN RBC QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTOPORPHYRIN RBC SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84203","description":"PROTOPORPHYRIN RBC SCREEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62267","description":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62267","description":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92986","description":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92986","description":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1149.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92987","description":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1244.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92987","description":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1244.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92990","description":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92990","description":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64561","description":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64561","description":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64553","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64553","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64555","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1722.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1808.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1871.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1965.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64555","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1722.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1808.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1871.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1965.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63650","description":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63650","description":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62263","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62263","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62264","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62264","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  GT  2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50081","description":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  GT  2 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  LT 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50080","description":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  LT 2 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47533","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47533","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47534","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47534","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36481","description":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1620.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36481","description":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1620.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26676","description":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26676","description":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26756","description":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26756","description":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27235","description":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27235","description":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28496","description":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28496","description":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24582","description":"PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24566","description":"PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28666","description":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28666","description":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26776","description":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26776","description":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26706","description":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26706","description":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METAR FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28476","description":"PRQ SKEL FIXJ METAR FX W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28636","description":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28636","description":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26727","description":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26727","description":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24538","description":"PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28576","description":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28576","description":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28606","description":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28606","description":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28546","description":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28546","description":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCNS W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCNS W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26650","description":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26650","description":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28436","description":"PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27756","description":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27756","description":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25651","description":"PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28406","description":"PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25671","description":"PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27509","description":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27509","description":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26608","description":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26608","description":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93580","description":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93580","description":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93581","description":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93581","description":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37197","description":"PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37197","description":"PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74363","description":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74363","description":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75885","description":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75885","description":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75887","description":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75887","description":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92973","description":"PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37187","description":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37187","description":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92924","description":"PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92920","description":"PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92937","description":"PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92928","description":"PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92943","description":"PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92933","description":"PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92941","description":"PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37188","description":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37188","description":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92997","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92997","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92998","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92998","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7168","description":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7168","description":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43118","description":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3137.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3294.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43118","description":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3137.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3294.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43121","description":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2481.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2605.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43121","description":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2481.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2605.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43116","description":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4297.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4512.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43116","description":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4297.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4512.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43117","description":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2832.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2974.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43117","description":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2832.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2974.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43122","description":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2247.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2359.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43122","description":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2247.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2359.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43123","description":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3899.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4094.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43123","description":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3899.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4094.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28122","description":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28122","description":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27360","description":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27360","description":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22100","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22100","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22103","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22103","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22102","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22102","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22101","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22101","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22110","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22110","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":999.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22116","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22116","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22114","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22114","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22112","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22112","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36456","description":"PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36456","description":"PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL HYMENECTOMY/REVJ HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56700","description":"PRTL HYMENECTOMY/REVJ HYMENAL RING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60212","description":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60212","description":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60210","description":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60210","description":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90792","description":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90792","description":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90791","description":"PSYCHIATRIC DIAGNOSTIC EVALUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96131","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96131","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96130","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96130","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOSOCIAL REHAB SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2017","description":"PSYCHOSOCIAL REHAB SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOSOCIAL REHAB SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2017","description":"PSYCHOSOCIAL REHAB SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90832","description":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90832","description":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90834","description":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90834","description":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90837","description":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90833","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90833","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90836","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90836","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90838","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90838","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96137","description":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96137","description":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96136","description":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96136","description":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96160","description":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96160","description":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94014","description":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94014","description":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81323","description":"PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81321","description":"PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81322","description":"PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31040","description":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31040","description":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33910","description":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2272.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2386.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33910","description":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2272.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2386.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33915","description":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1244.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33915","description":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1244.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33916","description":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3589.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3769.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33916","description":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3589.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3769.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY PERFUSION IMAGING PARTICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78580","description":"PULMONARY PERFUSION IMAGING PARTICULATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY PERFUSION IMAGING PARTICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78580","description":"PULMONARY PERFUSION IMAGING PARTICULATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94618","description":"PULMONARY STRESS TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94618","description":"PULMONARY STRESS TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78582","description":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78582","description":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78579","description":"PULMONARY VENTILATION IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78579","description":"PULMONARY VENTILATION IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11105","description":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11105","description":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11104","description":"PUNCH BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11104","description":"PUNCH BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10160","description":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10160","description":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19001","description":"PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19000","description":"PUNCTURE ASPIRATION CYST BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19001","description":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19001","description":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST OF BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19000","description":"PUNCTURE ASPIRATION CYST OF BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST OF BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19000","description":"PUNCTURE ASPIRATION CYST OF BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61070","description":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61070","description":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY AM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4196","description":"PURAPLY AM PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY AM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4196","description":"PURAPLY AM PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR  AND  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92553","description":"PURE TONE AUDIOMETRY AIR  AND  BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR  AND  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92553","description":"PURE TONE AUDIOMETRY AIR  AND  BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92552","description":"PURE TONE AUDIOMETRY AIR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92552","description":"PURE TONE AUDIOMETRY AIR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR/UNDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR/UNDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64463","description":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64463","description":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SECOND  and  ADDL INJ SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64462","description":"PVB THORACIC SECOND  and  ADDL INJ SITE W/IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SECOND  and  ADDL INJ SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64462","description":"PVB THORACIC SECOND  and  ADDL INJ SITE W/IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64461","description":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64461","description":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50405","description":"PYELOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1205.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1265.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50405","description":"PYELOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1205.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1265.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50400","description":"PYELOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50400","description":"PYELOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/DRAINAGE PYELOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50125","description":"PYELOTOMY W/DRAINAGE PYELOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/DRAINAGE PYELOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50125","description":"PYELOTOMY W/DRAINAGE PYELOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50120","description":"PYELOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50120","description":"PYELOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50130","description":"PYELOTOMY W/REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY WITH REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50130","description":"PYELOTOMY WITH REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY WITH REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50130","description":"PYELOTOMY WITH REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43520","description":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43520","description":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43800","description":"PYLOROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43800","description":"PYLOROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Prothrombin time","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85610","description":"Prothrombin time","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Prothrombin time","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85610","description":"Prothrombin time","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUADRICEPSPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27430","description":"QUADRICEPSPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"QUADRICEPSPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27430","description":"QUADRICEPSPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75577","description":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75577","description":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78598","description":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78598","description":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78597","description":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78597","description":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATION DRUG NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80299","description":"QUANTITATION DRUG NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93460","description":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93460","description":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93453","description":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93453","description":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONNJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93594","description":"R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1083.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93594","description":"R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1083.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R HRT CATH CHD W/IMG CATH TRGT ZONE NML NT CONNJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93593","description":"R HRT CATH CHD W/IMG CATH TRGT ZONE NML NT CONNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R HRT CATH CHD W/IMG CATH TRGT ZONE NML NT CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93593","description":"R HRT CATH CHD W/IMG CATH TRGT ZONE NML NT CONNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33476","description":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1318.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33476","description":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1318.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93461","description":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93461","description":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and L HRT CATH CHD IMG CATH TRGT ZON ABNL NT CONNJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93597","description":"R and L HRT CATH CHD IMG CATH TRGT ZON ABNL NT CONNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1324.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1390.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and L HRT CATH CHD IMG CATH TRGT ZON ABNL NT CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93597","description":"R and L HRT CATH CHD IMG CATH TRGT ZON ABNL NT CONNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1324.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1390.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":930.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and L HRT CATH CHD IMG CATH TRGT ZONE NML NT CONNJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93596","description":"R and L HRT CATH CHD IMG CATH TRGT ZONE NML NT CONNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and L HRT CATH CHD IMG CATH TRGT ZONE NML NT CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93596","description":"R and L HRT CATH CHD IMG CATH TRGT ZONE NML NT CONNJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90377","description":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90377","description":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90376","description":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90376","description":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90375","description":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90375","description":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.982,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.68,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90675","description":"RABIES VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90675","description":"RABIES VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58210","description":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1580.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58210","description":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1580.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25115","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25115","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25116","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25116","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69155","description":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1439.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1507.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1511.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69155","description":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1439.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1507.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1511.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69150","description":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69150","description":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS AND HTRTPC BONE ELBW CONTRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24149","description":"RAD RESCJ CAPSL TISS AND HTRTPC BONE ELBW CONTRCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24149","description":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24149","description":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25078","description":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25078","description":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26118","description":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26118","description":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24077","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24077","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24079","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1164.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1241.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24079","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1164.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1241.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28171","description":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28171","description":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27076","description":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2229.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2314.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2341.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27076","description":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2229.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2314.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2341.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27078","description":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1798.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1888.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27078","description":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1798.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1888.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27075","description":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1824.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1848.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1915.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1940.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27075","description":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1824.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1848.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1915.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1940.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25077","description":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25077","description":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21557","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21557","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21558","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1239.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21558","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1239.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24077","description":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24079","description":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1164.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1241.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26117","description":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26117","description":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27049","description":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1334.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27049","description":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1334.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27329","description":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27329","description":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26260","description":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26260","description":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27364","description":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1392.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1442.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27364","description":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1392.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1442.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21015","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21015","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21016","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21016","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27059","description":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1587.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1666.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27059","description":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1587.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1666.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22904","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22904","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22905","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1164.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1223.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1244.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22905","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1164.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1185.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1223.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1244.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21935","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21935","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21936","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21936","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28046","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28046","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28047","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28047","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27615","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27615","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27616","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1166.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27616","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1166.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23077","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23077","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23078","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1259.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1282.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1347.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23078","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1259.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1282.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1347.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57531","description":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1468.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1542.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1618.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57531","description":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1468.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1542.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1618.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76100","description":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76100","description":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73050","description":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73050","description":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76080","description":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76080","description":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73615","description":"RADEX ANKLE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73615","description":"RADEX ANKLE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73610","description":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73610","description":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CALCANEUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73650","description":"RADEX CALCANEUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CALCANEUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73650","description":"RADEX CALCANEUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CLAVICLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73000","description":"RADEX CLAVICLE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CLAVICLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73000","description":"RADEX CLAVICLE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73070","description":"RADEX ELBOW 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73070","description":"RADEX ELBOW 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73085","description":"RADEX ELBOW ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73085","description":"RADEX ELBOW ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73080","description":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73080","description":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72081","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72081","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72082","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72082","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72083","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72083","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT  VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72084","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT  VW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT  VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72084","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT  VW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES  LT  3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70140","description":"RADEX FACIAL BONES  LT  3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES  LT  3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70140","description":"RADEX FACIAL BONES  LT  3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70150","description":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70150","description":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FINGR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73140","description":"RADEX FINGR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FINGR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73140","description":"RADEX FINGR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73630","description":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73630","description":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOREARM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73090","description":"RADEX FOREARM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOREARM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73090","description":"RADEX FOREARM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76010","description":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76010","description":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73120","description":"RADEX HAND 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73120","description":"RADEX HAND 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73130","description":"RADEX HAND MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73130","description":"RADEX HAND MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73525","description":"RADEX HIP ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73525","description":"RADEX HIP ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73501","description":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73501","description":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73502","description":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73502","description":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73503","description":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73503","description":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73521","description":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73521","description":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73522","description":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73522","description":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73523","description":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73523","description":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HUMERUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73060","description":"RADEX HUMERUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HUMERUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73060","description":"RADEX HUMERUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX INTERNAL AUDITORY MEATI COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70134","description":"RADEX INTERNAL AUDITORY MEATI COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX INTERNAL AUDITORY MEATI COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70134","description":"RADEX INTERNAL AUDITORY MEATI COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73592","description":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73592","description":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70130","description":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70130","description":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70160","description":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70160","description":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX OPTIC FORAMINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70190","description":"RADEX OPTIC FORAMINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX OPTIC FORAMINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70190","description":"RADEX OPTIC FORAMINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70200","description":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70200","description":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70370","description":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70370","description":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74470","description":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74470","description":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71111","description":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71111","description":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BILATERAL 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71110","description":"RADEX RIBS BILATERAL 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BILATERAL 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71110","description":"RADEX RIBS BILATERAL 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71101","description":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71101","description":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNILATERAL 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71100","description":"RADEX RIBS UNILATERAL 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNILATERAL 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71100","description":"RADEX RIBS UNILATERAL 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72220","description":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72220","description":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SCAPULA COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73010","description":"RADEX SCAPULA COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SCAPULA COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73010","description":"RADEX SCAPULA COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73020","description":"RADEX SHOULDER 1 VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73020","description":"RADEX SHOULDER 1 VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73040","description":"RADEX SHOULDER ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73040","description":"RADEX SHOULDER ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73030","description":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73030","description":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70210","description":"RADEX SINUSES PARANASAL  LT 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70210","description":"RADEX SINUSES PARANASAL  LT 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70220","description":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70220","description":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE 1 VIEW SPECIFY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72020","description":"RADEX SPINE 1 VIEW SPECIFY LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE 1 VIEW SPECIFY LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72020","description":"RADEX SPINE 1 VIEW SPECIFY LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72040","description":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72040","description":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72050","description":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72050","description":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72052","description":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72052","description":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72100","description":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72100","description":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72110","description":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72110","description":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72120","description":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72120","description":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72114","description":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72114","description":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72070","description":"RADEX SPINE THORACIC 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72070","description":"RADEX SPINE THORACIC 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72072","description":"RADEX SPINE THORACIC 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72072","description":"RADEX SPINE THORACIC 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72074","description":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72074","description":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72080","description":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72080","description":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71130","description":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71130","description":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNUM MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71120","description":"RADEX STERNUM MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNUM MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71120","description":"RADEX STERNUM MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70330","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70330","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70328","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70328","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TOE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73660","description":"RADEX TOE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TOE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73660","description":"RADEX TOE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73092","description":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73092","description":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73100","description":"RADEX WRIST 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73100","description":"RADEX WRIST 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73115","description":"RADEX WRIST ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73115","description":"RADEX WRIST ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73110","description":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73110","description":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77371","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77371","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77372","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77372","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77431","description":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77431","description":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77427","description":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77427","description":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42844","description":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42844","description":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42845","description":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1935.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2032.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42845","description":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1935.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2032.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27077","description":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2456.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2485.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2579.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2609.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27077","description":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2456.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2485.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2579.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2609.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23220","description":"RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1698.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1720.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1782.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1806.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27647","description":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27647","description":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27645","description":"RADICAL RESECTION OF TUMOR TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1550.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1571.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1650.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27645","description":"RADICAL RESECTION OF TUMOR TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1550.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1571.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1650.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION STERNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21630","description":"RADICAL RESECTION STERNUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION STERNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21630","description":"RADICAL RESECTION STERNUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TONSIL W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42842","description":"RADICAL RESECTION TONSIL W/O CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TONSIL W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42842","description":"RADICAL RESECTION TONSIL W/O CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27646","description":"RADICAL RESECTION TUMOR BONE FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1347.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27646","description":"RADICAL RESECTION TUMOR BONE FIBULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1347.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23200","description":"RADICAL RESECTION TUMOR CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1341.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1388.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23200","description":"RADICAL RESECTION TUMOR CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1341.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1388.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26262","description":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26262","description":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR FEMOR OR KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27365","description":"RADICAL RESECTION TUMOR FEMOR OR KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1798.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1823.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1887.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1914.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR FEMOR OR KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27365","description":"RADICAL RESECTION TUMOR FEMOR OR KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1798.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1823.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1887.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1914.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26250","description":"RADICAL RESECTION TUMOR METACARPAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":939.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26250","description":"RADICAL RESECTION TUMOR METACARPAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":939.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28173","description":"RADICAL RESECTION TUMOR METATARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28173","description":"RADICAL RESECTION TUMOR METATARSAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PHALANX OR TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28175","description":"RADICAL RESECTION TUMOR PHALANX OR TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PHALANX OR TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28175","description":"RADICAL RESECTION TUMOR PHALANX OR TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23220","description":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1698.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1720.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1782.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1806.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23220","description":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1698.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1720.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1782.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1806.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24152","description":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1199.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1239.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1259.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24152","description":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1199.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1239.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1259.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIUS OR ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25170","description":"RADICAL RESECTION TUMOR RADIUS OR ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1289.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1308.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1354.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1373.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIUS OR ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25170","description":"RADICAL RESECTION TUMOR RADIUS OR ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1289.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1308.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1354.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1373.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23210","description":"RADICAL RESECTION TUMOR SCAPULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1550.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1571.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1650.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23210","description":"RADICAL RESECTION TUMOR SCAPULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1550.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1571.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1627.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1650.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24150","description":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1423.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1444.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24150","description":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1423.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1444.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25230","description":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25230","description":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64625","description":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64625","description":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70110","description":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70110","description":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74018","description":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74018","description":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74019","description":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74019","description":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74021","description":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74021","description":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73565","description":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73565","description":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71046","description":"RADIOLOGIC EXAM CHEST 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71046","description":"RADIOLOGIC EXAM CHEST 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71047","description":"RADIOLOGIC EXAM CHEST 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71047","description":"RADIOLOGIC EXAM CHEST 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 4 PLUS  VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71048","description":"RADIOLOGIC EXAM CHEST 4 PLUS  VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 4 PLUS  VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71048","description":"RADIOLOGIC EXAM CHEST 4 PLUS  VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST SINGLE VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71045","description":"RADIOLOGIC EXAM CHEST SINGLE VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST SINGLE VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71045","description":"RADIOLOGIC EXAM CHEST SINGLE VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74280","description":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74280","description":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74270","description":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74270","description":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74022","description":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74022","description":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74221","description":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74221","description":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74220","description":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74220","description":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73580","description":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73580","description":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73564","description":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73564","description":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70120","description":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70120","description":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72190","description":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72190","description":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74210","description":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74210","description":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72202","description":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72202","description":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70260","description":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70260","description":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74251","description":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74251","description":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74250","description":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74250","description":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74230","description":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74230","description":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70320","description":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70320","description":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70310","description":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70310","description":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74246","description":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74246","description":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74240","description":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74240","description":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73600","description":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73600","description":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70030","description":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70030","description":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73551","description":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73551","description":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73552","description":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73552","description":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73620","description":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73620","description":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73560","description":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73560","description":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73562","description":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73562","description":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70100","description":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70100","description":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70360","description":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70360","description":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77076","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77076","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77074","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77074","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72170","description":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72170","description":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72200","description":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72200","description":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70380","description":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70380","description":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SELLA TURCICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70240","description":"RADIOLOGIC EXAMINATION SELLA TURCICA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SELLA TURCICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70240","description":"RADIOLOGIC EXAMINATION SELLA TURCICA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70250","description":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70250","description":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70300","description":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70300","description":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73590","description":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73590","description":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74248","description":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74248","description":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76098","description":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76098","description":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75989","description":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75989","description":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78660","description":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78660","description":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78835","description":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78835","description":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95180","description":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95180","description":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBC LEU REDUCED OXYGEN/CO2 REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9027","description":"RBC LEU REDUCED OXYGEN/CO2 REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBC LEU REDUCED OXYGEN/CO2 REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9027","description":"RBC LEU REDUCED OXYGEN/CO2 REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS FRZN/DEGLYCEROLIZED/WASHED LEUKOCYTES RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9057","description":"RBCS FRZN/DEGLYCEROLIZED/WASHED LEUKOCYTES RDUC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS FRZN/DEGLYCEROLIZED/WASHED LEUKOCYTES RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9057","description":"RBCS FRZN/DEGLYCEROLIZED/WASHED LEUKOCYTES RDUC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9058","description":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9058","description":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9040","description":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9040","description":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28313","description":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28313","description":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21175","description":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1940.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1953.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2037.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2050.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21175","description":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1940.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1953.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2037.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2050.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26545","description":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26545","description":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26542","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26542","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26541","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26541","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21181","description":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21181","description":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27424","description":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27424","description":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27422","description":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27422","description":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLOCATING PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27420","description":"RCNSTJ DISLOCATING PATELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLOCATING PATELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27420","description":"RCNSTJ DISLOCATING PATELLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67971","description":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67971","description":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67973","description":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67973","description":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67975","description":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67975","description":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67974","description":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67974","description":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD  and / SUPRAORB RIMS W/ALGRF/PROSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21179","description":"RCNSTJ FOREHEAD  and / SUPRAORB RIMS W/ALGRF/PROSTC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1347.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD  and / SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21180","description":"RCNSTJ FOREHEAD  and / SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1491.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1565.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1579.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21180","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1491.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1565.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1579.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21180","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1491.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1565.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1579.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21179","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1347.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21179","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1347.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1402.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24344","description":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24344","description":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21188","description":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1391.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1456.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21188","description":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1391.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1456.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24346","description":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24346","description":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21145","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1359.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1427.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21145","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1359.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1427.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21141","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21141","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21146","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1429.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1489.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1500.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21146","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1429.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1489.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1500.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21142","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1260.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21142","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1200.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1260.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21147","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1494.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1502.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1569.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1577.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21147","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1494.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1502.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1569.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1577.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21143","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1245.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1298.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1308.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21143","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1245.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1298.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1308.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21150","description":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1446.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1447.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1518.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1520.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21150","description":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1446.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1447.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1518.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1520.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21151","description":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1591.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1593.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1671.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1673.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21151","description":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1591.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1593.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1671.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1673.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21160","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2466.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2471.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2590.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2595.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21160","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2466.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2471.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2590.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2595.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21159","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2274.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2279.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2388.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2393.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21159","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2274.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2279.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2388.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2393.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21155","description":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1898.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1903.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1993.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21155","description":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1898.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1903.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1993.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21154","description":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1712.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1715.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1798.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1801.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21154","description":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1712.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1715.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1798.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1801.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21244","description":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21244","description":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21246","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21246","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21245","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21245","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21247","description":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1385.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1396.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21247","description":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1385.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1396.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21194","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1249.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1311.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21194","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1249.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1311.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21193","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21193","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21196","description":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1261.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1324.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21196","description":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1261.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1324.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21195","description":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1239.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21195","description":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1239.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21183","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2018.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2036.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2119.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2138.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21183","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2018.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2036.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2119.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2138.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21184","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2170.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2189.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2278.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2299.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21184","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2170.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2189.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2278.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2299.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21182","description":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1855.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1948.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1966.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21182","description":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1855.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1948.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1966.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47800","description":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47800","description":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26587","description":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26587","description":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28238","description":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28238","description":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25337","description":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25337","description":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21172","description":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1879.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1892.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1973.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1986.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21172","description":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1879.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1892.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1973.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1986.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26502","description":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26502","description":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26500","description":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26500","description":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28341","description":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28341","description":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28340","description":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28340","description":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28345","description":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28345","description":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69320","description":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1444.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1456.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69320","description":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1444.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1456.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21255","description":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1178.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1233.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21255","description":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1178.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1233.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62117","description":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1758.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1846.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62117","description":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1758.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1846.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62115","description":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1592.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62115","description":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1592.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21139","description":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21139","description":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21138","description":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21138","description":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45900","description":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45900","description":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54600","description":"RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54600","description":"RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44050","description":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44050","description":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26437","description":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26437","description":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84235","description":"RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84238","description":"RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50340","description":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50340","description":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION CLEFT FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28360","description":"RECONSTRUCTION CLEFT FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION CLEFT FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28360","description":"RECONSTRUCTION CLEFT FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33622","description":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2952.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3099.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33622","description":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2952.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3099.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69310","description":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69310","description":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION NAIL BED W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11762","description":"RECONSTRUCTION NAIL BED W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION NAIL BED W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11762","description":"RECONSTRUCTION NAIL BED W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21256","description":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21256","description":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23420","description":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23420","description":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION TOE POLYDACTYLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28344","description":"RECONSTRUCTION TOE POLYDACTYLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION TOE POLYDACTYLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28344","description":"RECONSTRUCTION TOE POLYDACTYLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION VENA CAVA ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34502","description":"RECONSTRUCTION VENA CAVA ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1323.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1389.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION VENA CAVA ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34502","description":"RECONSTRUCTION VENA CAVA ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1323.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1389.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL SENSATION TONE and COMPLIANCE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91124","description":"RECTAL SENSATION TONE and COMPLIANCE STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL SENSATION TONE and COMPLIANCE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91124","description":"RECTAL SENSATION TONE and COMPLIANCE STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9039","description":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9039","description":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9021","description":"RED BLOOD CELLS EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9021","description":"RED BLOOD CELLS EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9038","description":"RED BLOOD CELLS IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9038","description":"RED BLOOD CELLS IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9016","description":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9016","description":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS WASHED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9022","description":"RED BLOOD CELLS WASHED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS WASHED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9022","description":"RED BLOOD CELLS WASHED EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78130","description":"RED CELL SURVIVAL STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78120","description":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78120","description":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78121","description":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78121","description":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION FOREHEAD CONTOURING ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21137","description":"REDUCTION FOREHEAD CONTOURING ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION FOREHEAD CONTOURING ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21137","description":"REDUCTION FOREHEAD CONTOURING ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MAMMAPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19318","description":"REDUCTION MAMMAPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21295","description":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21295","description":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21296","description":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21296","description":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2626","description":"REDUCTION OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2626","description":"REDUCTION OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OVERCORRECTION PTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67909","description":"REDUCTION OVERCORRECTION PTOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OVERCORRECTION PTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67909","description":"REDUCTION OVERCORRECTION PTOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49014","description":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49014","description":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96522","description":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96522","description":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95990","description":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95990","description":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96521","description":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96521","description":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33788","description":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1324.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1390.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33788","description":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1324.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1390.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT RNFCMT  and / ATTACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65155","description":"REINSERTION OCULAR IMPLT RNFCMT  and / ATTACH MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT RNFCMT  and / ATTACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65155","description":"REINSERTION OCULAR IMPLT RNFCMT  and / ATTACH MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65150","description":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65150","description":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION SPINAL FIXATION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22849","description":"REINSERTION SPINAL FIXATION DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION SPINAL FIXATION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22849","description":"REINSERTION SPINAL FIXATION DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67115","description":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67115","description":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26593","description":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26593","description":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE TARSAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28035","description":"RELEASE TARSAL TUNNEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE TARSAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28035","description":"RELEASE TARSAL TUNNEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE THENAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26508","description":"RELEASE THENAR MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE THENAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26508","description":"RELEASE THENAR MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE/RECESSION HAMSTRING PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27097","description":"RELEASE/RECESSION HAMSTRING PROXIMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE/RECESSION HAMSTRING PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27097","description":"RELEASE/RECESSION HAMSTRING PROXIMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELESE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4257","description":"RELESE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELESE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4257","description":"RELESE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33223","description":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33223","description":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION OF SKIN POCKET FOR PACEMAKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33222","description":"RELOCATION OF SKIN POCKET FOR PACEMAKER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION OF SKIN POCKET FOR PACEMAKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33222","description":"RELOCATION OF SKIN POCKET FOR PACEMAKER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93297","description":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93297","description":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93294","description":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93294","description":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93296","description":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93296","description":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93298","description":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93298","description":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IMAGING MGT RETINAL DISEASE W/I and R UNI/B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92228","description":"REMOTE IMAGING MGT RETINAL DISEASE W/I and R UNI/B","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IMG DX RETINL DIS W/ALYS  and  REPORT UNI/B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92227","description":"REMOTE IMG DX RETINL DIS W/ALYS  and  REPORT UNI/B","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANAL SETON OTHER MARKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46030","description":"REMOVAL ANAL SETON OTHER MARKER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANAL SETON OTHER MARKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46030","description":"REMOVAL ANAL SETON OTHER MARKER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANKLE IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27704","description":"REMOVAL ANKLE IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANKLE IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27704","description":"REMOVAL ANKLE IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANTERIOR INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22855","description":"REMOVAL ANTERIOR INSTRUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1043.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":980.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANTERIOR INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22855","description":"REMOVAL ANTERIOR INSTRUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1043.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":980.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47537","description":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47537","description":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DUCT  and /GLBLDR CALCULI PERQ RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47544","description":"REMOVAL BILIARY DUCT  and /GLBLDR CALCULI PERQ RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DUCT  and /GLBLDR CALCULI PERQ RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47544","description":"REMOVAL BILIARY DUCT  and /GLBLDR CALCULI PERQ RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59871","description":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59871","description":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21029","description":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21029","description":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64570","description":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64570","description":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL DEEP DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20701","description":"REMOVAL DEEP DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL DEEP DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20701","description":"REMOVAL DEEP DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EMBEDDED FOREIGN BODY EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67938","description":"REMOVAL EMBEDDED FOREIGN BODY EYELID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EMBEDDED FOREIGN BODY EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67938","description":"REMOVAL EMBEDDED FOREIGN BODY EYELID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69727","description":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69727","description":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69726","description":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69726","description":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20694","description":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20694","description":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65205","description":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65205","description":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP PENILE TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54115","description":"REMOVAL FOREIGN BODY DEEP PENILE TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP PENILE TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54115","description":"REMOVAL FOREIGN BODY DEEP PENILE TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27372","description":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27372","description":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28193","description":"REMOVAL FOREIGN BODY FOOT COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28193","description":"REMOVAL FOREIGN BODY FOOT COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28192","description":"REMOVAL FOREIGN BODY FOOT DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28192","description":"REMOVAL FOREIGN BODY FOOT DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28190","description":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28190","description":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30310","description":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30310","description":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30300","description":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30300","description":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20520","description":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20520","description":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27087","description":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27087","description":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42809","description":"REMOVAL FOREIGN BODY PHARYNX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42809","description":"REMOVAL FOREIGN BODY PHARYNX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SCROTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55120","description":"REMOVAL FOREIGN BODY SCROTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SCROTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55120","description":"REMOVAL FOREIGN BODY SCROTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23330","description":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23330","description":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24201","description":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24201","description":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27090","description":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27090","description":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64584","description":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64584","description":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69210","description":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69210","description":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69209","description":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69209","description":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57415","description":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57415","description":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20680","description":"REMOVAL IMPLANT DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20680","description":"REMOVAL IMPLANT DEEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT FROM FINGER/HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26320","description":"REMOVAL IMPLANT FROM FINGER/HAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT FROM FINGER/HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26320","description":"REMOVAL IMPLANT FROM FINGER/HAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20670","description":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20670","description":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11976","description":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11976","description":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33241","description":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33241","description":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36262","description":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36262","description":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INDWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50384","description":"REMOVAL INDWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INDWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50384","description":"REMOVAL INDWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19328","description":"REMOVAL INTACT BREAST IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19328","description":"REMOVAL INTACT BREAST IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT MAMMARY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19328","description":"REMOVAL INTACT MAMMARY IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33968","description":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33968","description":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20705","description":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20705","description":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20703","description":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20703","description":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58301","description":"REMOVAL INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58301","description":"REMOVAL INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATERIAL EXTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66940","description":"REMOVAL LENS MATERIAL EXTRACAPSULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATERIAL EXTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66940","description":"REMOVAL LENS MATERIAL EXTRACAPSULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66930","description":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66930","description":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32445","description":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3058.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3211.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32445","description":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3058.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3211.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32442","description":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2641.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2773.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32442","description":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2641.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2773.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL MAMMARY IMPLANT MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19330","description":"REMOVAL MAMMARY IMPLANT MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0517","description":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0517","description":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11982","description":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11982","description":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OCULAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65175","description":"REMOVAL OCULAR IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OCULAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65175","description":"REMOVAL OCULAR IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF LUNG PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32440","description":"REMOVAL OF LUNG PNEUMONECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1364.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF LUNG PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32440","description":"REMOVAL OF LUNG PNEUMONECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1364.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50370","description":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1120.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50370","description":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1120.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PANCREATIC CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48020","description":"REMOVAL PANCREATIC CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PANCREATIC CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48020","description":"REMOVAL PANCREATIC CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33992","description":"REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49402","description":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49402","description":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33233","description":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33233","description":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33992","description":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33992","description":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33997","description":"REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33997","description":"REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33278","description":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33278","description":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22850","description":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22850","description":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22852","description":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22852","description":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11008","description":"REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23333","description":"REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23333","description":"REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11201","description":"REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11200","description":"REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33286","description":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33286","description":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23000","description":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23000","description":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15851","description":"REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15854","description":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15854","description":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15853","description":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15853","description":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15851","description":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15851","description":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11971","description":"REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11971","description":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11971","description":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20665","description":"REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20665","description":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20665","description":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUMOR TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69970","description":"REMOVAL TUMOR TEMPORAL BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1872.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1878.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1966.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1971.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUMOR TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69970","description":"REMOVAL TUMOR TEMPORAL BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1872.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1878.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1966.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1971.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49422","description":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49422","description":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33977","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33977","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33978","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33978","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25251","description":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25251","description":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25250","description":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25250","description":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29705","description":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29705","description":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29700","description":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29700","description":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50385","description":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50385","description":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50386","description":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50386","description":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0518","description":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0518","description":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53446","description":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53446","description":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33228","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33228","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33229","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33229","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33227","description":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33227","description":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50360","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2238.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50360","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2132.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2238.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50365","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2540.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2667.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50365","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2540.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2667.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50380","description":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1792.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1881.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50380","description":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1792.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1881.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50380","description":"RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1792.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1881.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY PRQ TROCAR/NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50200","description":"RENAL BIOPSY PRQ TROCAR/NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY PRQ TROCAR/NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50200","description":"RENAL BIOPSY PRQ TROCAR/NEEDLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY SURG EXPOSURE KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50205","description":"RENAL BIOPSY SURG EXPOSURE KIDNEY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY SURG EXPOSURE KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50205","description":"RENAL BIOPSY SURG EXPOSURE KIDNEY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50551","description":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50551","description":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50010","description":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50010","description":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80069","description":"RENAL FUNCTION PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50555","description":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50555","description":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50557","description":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50557","description":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50562","description":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50562","description":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50561","description":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50561","description":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50553","description":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50553","description":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50574","description":"RENAL NDSC NEPHROTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50574","description":"RENAL NDSC NEPHROTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50570","description":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50570","description":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL VEIN RENIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80416","description":"RENAL VEIN RENIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOPENING RECENT LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49002","description":"REOPENING RECENT LAPAROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REOPENING RECENT LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49002","description":"REOPENING RECENT LAPAROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":964.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2409","description":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2409","description":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANAL FISTULA W/FIBRIN GLUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46706","description":"REPAIR ANAL FISTULA W/FIBRIN GLUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANAL FISTULA W/FIBRIN GLUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46706","description":"REPAIR ANAL FISTULA W/FIBRIN GLUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANORECTAL FISTULA PLUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46707","description":"REPAIR ANORECTAL FISTULA PLUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANORECTAL FISTULA PLUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46707","description":"REPAIR ANORECTAL FISTULA PLUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANTERIOR PALATE W/VOMER FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42235","description":"REPAIR ANTERIOR PALATE W/VOMER FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANTERIOR PALATE W/VOMER FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42235","description":"REPAIR ANTERIOR PALATE W/VOMER FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35207","description":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35207","description":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35221","description":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1275.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35221","description":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1275.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35226","description":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35226","description":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35201","description":"REPAIR BLOOD VESSEL DIRECT NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35201","description":"REPAIR BLOOD VESSEL DIRECT NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35206","description":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35206","description":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35251","description":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1512.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1588.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35251","description":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1512.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1588.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35256","description":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35256","description":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35261","description":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35261","description":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35231","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35231","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35236","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35236","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROW PTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67900","description":"REPAIR BROW PTOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROW PTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67900","description":"REPAIR BROW PTOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33305","description":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3513.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3689.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33305","description":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3513.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3689.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33300","description":"REPAIR CARDIAC WOUND W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2097.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2202.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33300","description":"REPAIR CARDIAC WOUND W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2097.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2202.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CCAM IN THE FETUS PROCEDURE IN UTERO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2402","description":"REPAIR CCAM IN THE FETUS PROCEDURE IN UTERO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1652.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1735.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1796.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1886.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CCAM IN THE FETUS PROCEDURE IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2402","description":"REPAIR CCAM IN THE FETUS PROCEDURE IN UTERO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1652.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1735.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1796.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1886.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30540","description":"REPAIR CHOANAL ATRESIA INTRANASAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30540","description":"REPAIR CHOANAL ATRESIA INTRANASAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA TRANSPALATINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30545","description":"REPAIR CHOANAL ATRESIA TRANSPALATINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA TRANSPALATINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30545","description":"REPAIR CHOANAL ATRESIA TRANSPALATINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CLEFT HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26580","description":"REPAIR CLEFT HAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CLEFT HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26580","description":"REPAIR CLEFT HAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13151","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13151","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13152","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13152","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13131","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13131","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13132","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13132","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13133","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13133","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13120","description":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13120","description":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13121","description":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13121","description":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13122","description":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13122","description":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13100","description":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13100","description":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13101","description":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13101","description":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13102","description":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13102","description":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13153","description":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13153","description":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35184","description":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35184","description":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35180","description":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35180","description":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35182","description":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1548.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35182","description":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1548.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27727","description":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27727","description":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25426","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25426","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25425","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25425","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27676","description":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27676","description":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67916","description":"REPAIR ECTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67916","description":"REPAIR ECTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67917","description":"REPAIR ECTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67917","description":"REPAIR ECTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67914","description":"REPAIR ECTROPION SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67914","description":"REPAIR ECTROPION SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67915","description":"REPAIR ECTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67915","description":"REPAIR ECTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57270","description":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57270","description":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57268","description":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57268","description":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67923","description":"REPAIR ENTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67923","description":"REPAIR ENTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67924","description":"REPAIR ENTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3510.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3686.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67924","description":"REPAIR ENTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3510.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3686.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67921","description":"REPAIR ENTROPION SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67921","description":"REPAIR ENTROPION SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67922","description":"REPAIR ENTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67922","description":"REPAIR ENTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EPS IN FETUS PROCEDURE PERFORMED IN UTERO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2403","description":"REPAIR EPS IN FETUS PROCEDURE PERFORMED IN UTERO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1652.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1735.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1796.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1886.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EPS IN FETUS PROCEDURE PERFORMED IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2403","description":"REPAIR EPS IN FETUS PROCEDURE PERFORMED IN UTERO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1652.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1735.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1796.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1886.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26434","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26434","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26433","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26433","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26420","description":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26420","description":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26418","description":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26418","description":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26412","description":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26412","description":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26410","description":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26410","description":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FASCIAL DEFECT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27656","description":"REPAIR FASCIAL DEFECT LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FASCIAL DEFECT LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27656","description":"REPAIR FASCIAL DEFECT LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27726","description":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27726","description":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA OROMAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30580","description":"REPAIR FISTULA OROMAXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA OROMAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30580","description":"REPAIR FISTULA OROMAXILLARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA ORONASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30600","description":"REPAIR FISTULA ORONASAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA ORONASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30600","description":"REPAIR FISTULA ORONASAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27658","description":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27658","description":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INCOMPLETE CIRCUMCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54163","description":"REPAIR INCOMPLETE CIRCUMCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INCOMPLETE CIRCUMCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54163","description":"REPAIR INCOMPLETE CIRCUMCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12057","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12057","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12055","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12055","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12051","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12051","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12052","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12052","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12056","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12056","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12053","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12053","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12054","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12054","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12047","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12047","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12045","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12045","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12041","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12041","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12042","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12042","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12044","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12044","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12037","description":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12037","description":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12035","description":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12035","description":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12031","description":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12031","description":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12032","description":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12032","description":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12036","description":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12036","description":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12034","description":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12034","description":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26591","description":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26591","description":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR IRIS CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66680","description":"REPAIR IRIS CILIARY BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR IRIS CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66680","description":"REPAIR IRIS CILIARY BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33724","description":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1393.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33724","description":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1393.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39501","description":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39501","description":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42182","description":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42182","description":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  LT 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42180","description":"REPAIR LACERATION PALATE  LT 2 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  LT 2 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42180","description":"REPAIR LACERATION PALATE  LT 2 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24343","description":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24343","description":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40652","description":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40652","description":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40650","description":"REPAIR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40650","description":"REPAIR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUMBAR HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49540","description":"REPAIR LUMBAR HERNIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUNG HERNIA THROUGH CHEST WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32800","description":"REPAIR LUNG HERNIA THROUGH CHEST WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUNG HERNIA THROUGH CHEST WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32800","description":"REPAIR LUNG HERNIA THROUGH CHEST WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MACRODACTYLIA EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26590","description":"REPAIR MACRODACTYLIA EACH DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1271.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1334.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1337.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MACRODACTYLIA EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26590","description":"REPAIR MACRODACTYLIA EACH DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1271.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1334.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1337.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24345","description":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24345","description":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63702","description":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1290.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1354.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63702","description":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1290.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1354.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63700","description":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1241.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63700","description":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1241.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63706","description":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1747.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63706","description":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1747.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63704","description":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1500.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1575.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63704","description":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1500.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1575.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NAIL BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11760","description":"REPAIR NAIL BED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NAIL BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11760","description":"REPAIR NAIL BED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL SEPTAL PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30630","description":"REPAIR NASAL SEPTAL PERFORATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL SEPTAL PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30630","description":"REPAIR NASAL SEPTAL PERFORATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL VESTIBULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30465","description":"REPAIR NASAL VESTIBULAR STENOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL VESTIBULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30465","description":"REPAIR NASAL VESTIBULAR STENOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASOLABIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42260","description":"REPAIR NASOLABIAL FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASOLABIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42260","description":"REPAIR NASOLABIAL FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24435","description":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24435","description":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24430","description":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24430","description":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION CARPAL BONE EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25431","description":"REPAIR NONUNION CARPAL BONE EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION CARPAL BONE EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25431","description":"REPAIR NONUNION CARPAL BONE EACH BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TARSAL BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28320","description":"REPAIR NONUNION/MALUNION TARSAL BONES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TARSAL BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28320","description":"REPAIR NONUNION/MALUNION TARSAL BONES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27720","description":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27720","description":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27722","description":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27722","description":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54437","description":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54437","description":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OVAL WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69666","description":"REPAIR OVAL WINDOW FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OVAL WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69666","description":"REPAIR OVAL WINDOW FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS LIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33824","description":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33824","description":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33822","description":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33822","description":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21742","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21742","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21743","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21743","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21740","description":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21740","description":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27650","description":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27650","description":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27407","description":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27407","description":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PULMONARY VENOUS STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33726","description":"REPAIR PULMONARY VENOUS STENOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1750.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1838.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PULMONARY VENOUS STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33726","description":"REPAIR PULMONARY VENOUS STENOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1750.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1838.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RECTOCELE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45560","description":"REPAIR RECTOCELE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RECTOCELE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45560","description":"REPAIR RECTOCELE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67107","description":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67107","description":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ROUND WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69667","description":"REPAIR ROUND WINDOW FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ROUND WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69667","description":"REPAIR ROUND WINDOW FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66225","description":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66225","description":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27654","description":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27654","description":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27698","description":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27698","description":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SPICA BODY CAST/JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29720","description":"REPAIR SPICA BODY CAST/JACKET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SPICA BODY CAST/JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29720","description":"REPAIR SPICA BODY CAST/JACKET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26562","description":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1289.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26562","description":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1289.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26560","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26560","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26561","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26561","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28208","description":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28208","description":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR URINARY TRACT OBSTRUCTION FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2401","description":"REPAIR URINARY TRACT OBSTRUCTION FETUS IN UTERO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR URINARY TRACT OBSTRUCTION FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2401","description":"REPAIR URINARY TRACT OBSTRUCTION FETUS IN UTERO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR/MODIFICATION OF A HEARING AID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5014","description":"REPAIR/MODIFICATION OF A HEARING AID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR/MODIFICATION OF A HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5014","description":"REPAIR/MODIFICATION OF A HEARING AID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SFT INTERFCE MATL/CUFF BI-DIR STAT DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1821","description":"REPL SFT INTERFCE MATL/CUFF BI-DIR STAT DEVC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SFT INTERFCE MATL/CUFF BI-DIR STAT DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1821","description":"REPL SFT INTERFCE MATL/CUFF BI-DIR STAT DEVC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33369","description":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33369","description":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33363","description":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33363","description":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33364","description":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33364","description":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1172.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33365","description":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1285.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33365","description":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1285.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33362","description":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33362","description":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33361","description":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33361","description":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33368","description":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33368","description":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33367","description":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33367","description":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49451","description":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49451","description":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49450","description":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49450","description":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33413","description":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2768.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2906.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33413","description":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2768.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2906.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33412","description":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2701.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2837.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33412","description":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2701.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2837.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92326","description":"REPLACEMENT CONTACT LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49452","description":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49452","description":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33430","description":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2413.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2534.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33430","description":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2413.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2534.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92326","description":"REPLACEMENT OF CONTACT LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92326","description":"REPLACEMENT OF CONTACT LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33475","description":"REPLACEMENT PULMONARY VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2100.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33475","description":"REPLACEMENT PULMONARY VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2100.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11970","description":"REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11970","description":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11970","description":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33465","description":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2370.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2489.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33465","description":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2370.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2489.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION ARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20802","description":"REPLANTATION ARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2403.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2433.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2523.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2555.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION ARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20802","description":"REPLANTATION ARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2403.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2433.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2523.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2555.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOOT COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20838","description":"REPLANTATION FOOT COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2439.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2469.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2561.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2593.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOOT COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20838","description":"REPLANTATION FOOT COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2439.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2469.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2561.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2593.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOREARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20805","description":"REPLANTATION FOREARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2854.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2888.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2997.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3033.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOREARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20805","description":"REPLANTATION FOREARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2854.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2888.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2997.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3033.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION HAND COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20808","description":"REPLANTATION HAND COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3441.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3482.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3614.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3656.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION HAND COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20808","description":"REPLANTATION HAND COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3441.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3482.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3614.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3656.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43761","description":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43761","description":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33273","description":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33273","description":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITION VAD W/IMAGING DIFFERENT SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33993","description":"REPOSITION VAD W/IMAGING DIFFERENT SESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66825","description":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66825","description":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33993","description":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33993","description":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33281","description":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33281","description":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPR SACROCOC TERATOMA FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2405","description":"REPR SACROCOC TERATOMA FETUS IN UTERO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2218.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2329.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2411.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2531.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPR SACROCOC TERATOMA FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2405","description":"REPR SACROCOC TERATOMA FETUS IN UTERO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2218.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2329.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2411.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2531.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62252","description":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62252","description":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37192","description":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37192","description":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPTILASE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85635","description":"REPTILASE TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32504","description":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1863.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32504","description":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1863.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32503","description":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1636.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32503","description":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1636.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39561","description":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39561","description":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39560","description":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39560","description":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42892","description":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1638.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1720.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42892","description":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1638.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1720.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40530","description":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40530","description":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58950","description":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58950","description":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PALATE/EXTENSIVE RESCJ LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42120","description":"RESCJ PALATE/EXTENSIVE RESCJ LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PALATE/EXTENSIVE RESCJ LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42120","description":"RESCJ PALATE/EXTENSIVE RESCJ LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42894","description":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2077.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2181.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42894","description":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2077.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2181.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58952","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1406.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58952","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1406.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1458.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58951","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1246.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1279.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58951","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1246.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1279.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ RECR OVR TBL PP UTR MAL OMNTC PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58958","description":"RESCJ RECR OVR TBL PP UTR MAL OMNTC PEL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1420.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ RECR OVR TBL PP UTR MAL OMNTC PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58958","description":"RESCJ RECR OVR TBL PP UTR MAL OMNTC PEL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1420.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69535","description":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2351.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2358.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2468.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2476.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69535","description":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2351.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2358.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2468.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2476.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32501","description":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32501","description":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61600","description":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1879.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1973.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61600","description":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1879.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1973.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61601","description":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2169.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2278.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61601","description":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2169.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2278.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61616","description":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2974.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3122.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61616","description":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2974.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3122.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61615","description":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2511.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2636.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61615","description":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2511.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2636.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61605","description":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1912.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2008.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61605","description":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1912.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2008.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61606","description":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2582.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2711.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61606","description":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2582.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2711.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61608","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2923.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3069.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61608","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2923.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3069.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61607","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2708.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2844.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61607","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2708.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2844.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48105","description":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2473.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2597.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48105","description":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2473.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2597.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28153","description":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28153","description":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION ELBOW JOINT ARTHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24155","description":"RESECTION ELBOW JOINT ARTHRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION ELBOW JOINT ARTHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24155","description":"RESECTION ELBOW JOINT ARTHRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION EXTERNAL CARDIAC TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33130","description":"RESECTION EXTERNAL CARDIAC TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1178.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION EXTERNAL CARDIAC TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33130","description":"RESECTION EXTERNAL CARDIAC TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1178.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION HUMERAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23195","description":"RESECTION HUMERAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION HUMERAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23195","description":"RESECTION HUMERAL HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION MEDIASTINAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39220","description":"RESECTION MEDIASTINAL TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION MEDIASTINAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39220","description":"RESECTION MEDIASTINAL TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION OF MEDIASTINAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39200","description":"RESECTION OF MEDIASTINAL CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION OF MEDIASTINAL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39200","description":"RESECTION OF MEDIASTINAL CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28126","description":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28126","description":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PERICARDIAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33050","description":"RESECTION PERICARDIAL CYST/TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PERICARDIAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33050","description":"RESECTION PERICARDIAL CYST/TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION RECRT MAL W/OMENTECTOMY PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58958","description":"RESECTION RECRT MAL W/OMENTECTOMY PEL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1420.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32900","description":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1243.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32900","description":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1243.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION SCROTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55150","description":"RESECTION SCROTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION SCROTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55150","description":"RESECTION SCROTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/INCISION SUBVALVULAR TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33415","description":"RESECTION/INCISION SUBVALVULAR TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1746.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1833.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/INCISION SUBVALVULAR TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33415","description":"RESECTION/INCISION SUBVALVULAR TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1746.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1833.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23440","description":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23440","description":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY FLOW VOLUME LOOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94375","description":"RESPIRATORY FLOW VOLUME LOOP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY MOTION MANAGEMENT SIMULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77293","description":"RESPIRATORY MOTION MANAGEMENT SIMULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY MOTION MANAGEMENT SIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77293","description":"RESPIRATORY MOTION MANAGEMENT SIMULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETICULATED PLATELET ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85055","description":"RETICULATED PLATELET ASSAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION ALCOHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67505","description":"RETROBULBAR INJECTION ALCOHOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION ALCOHOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67505","description":"RETROBULBAR INJECTION ALCOHOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67500","description":"RETROBULBAR INJECTION MEDICATION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67500","description":"RETROBULBAR INJECTION MEDICATION SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64595","description":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64595","description":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVAKINAGENE TARORETCEL-LWEY PER IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3403","description":"REVAKINAGENE TARORETCEL-LWEY PER IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295350.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVAKINAGENE TARORETCEL-LWEY PER IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3403","description":"REVAKINAGENE TARORETCEL-LWEY PER IMPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295350.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS ELBOW ARTHRPLSTY HUMERAL AND ULNA COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24371","description":"REVIS ELBOW ARTHRPLSTY HUMERAL AND ULNA COMPNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1551.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1629.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1649.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS ELBOW ARTHRPLSTY HUMERAL AND ULNA COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24371","description":"REVIS ELBOW ARTHRPLSTY HUMERAL AND ULNA COMPNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1551.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1629.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1649.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24370","description":"REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1351.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24370","description":"REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1351.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49426","description":"REVIS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49426","description":"REVIS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23474","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1525.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1542.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1619.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23474","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1525.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1542.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1619.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23473","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1429.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1501.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23473","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1429.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1501.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35883","description":"REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35884","description":"REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19380","description":"REVISION OF RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19380","description":"REVISION OF RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43848","description":"REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1707.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1792.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PERI-IMPLANT CAPSULE BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19370","description":"REVISION PERI-IMPLANT CAPSULE BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PERI-IMPLANT CAPSULE BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19370","description":"REVISION PERI-IMPLANT CAPSULE BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PRIOR HYPOSPADIAS REPAIR DSJ and EXC RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54352","description":"REVISION PRIOR HYPOSPADIAS REPAIR DSJ and EXC RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PRIOR HYPOSPADIAS REPAIR DSJ and EXC RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54352","description":"REVISION PRIOR HYPOSPADIAS REPAIR DSJ and EXC RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57426","description":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57426","description":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19380","description":"REVISION RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69662","description":"REVISION STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69662","description":"REVISION STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION TRACHEOSTOMY SCAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31830","description":"REVISION TRACHEOSTOMY SCAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION TRACHEOSTOMY SCAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31830","description":"REVISION TRACHEOSTOMY SCAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64598","description":"REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64598","description":"REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64569","description":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64569","description":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43882","description":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43882","description":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL GASTRIC NSTIM ELTRDE ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43882","description":"REVISION/RMVL GASTRIC NSTIM ELTRDE ANTRUM OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL PERIPHERAL/GASTRIC NPGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64595","description":"REVISION/RMVL PERIPHERAL/GASTRIC NPGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVITA PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4180","description":"REVITA PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVITA PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4180","description":"REVITA PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66185","description":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66185","description":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25449","description":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25449","description":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44345","description":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44345","description":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44340","description":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44340","description":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44346","description":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44346","description":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35884","description":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35884","description":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35883","description":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35883","description":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43860","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1513.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43860","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1513.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43865","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1506.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1581.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43865","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1506.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1581.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44314","description":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44314","description":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44312","description":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44312","description":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36261","description":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36261","description":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63664","description":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63664","description":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63663","description":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63663","description":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35879","description":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35879","description":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35881","description":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35881","description":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69601","description":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69601","description":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69602","description":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69602","description":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69603","description":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1190.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1199.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69603","description":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1190.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1199.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69604","description":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69604","description":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36832","description":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36832","description":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36833","description":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36833","description":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43848","description":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1707.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1792.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43848","description":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1707.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1792.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22861","description":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2054.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2082.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2157.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2186.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66184","description":"REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66184","description":"REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27137","description":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1285.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1303.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1349.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27137","description":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1285.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1303.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1349.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27134","description":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1668.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1752.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27134","description":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1668.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1752.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27138","description":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1354.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1401.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27138","description":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1354.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1401.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1421.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27487","description":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1636.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27487","description":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1636.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27486","description":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1233.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1295.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27486","description":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1233.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1295.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37183","description":"REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37183","description":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37183","description":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50728","description":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50728","description":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50727","description":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50727","description":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57296","description":"REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57296","description":"REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22861","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2054.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2082.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2157.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2186.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22861","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2054.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2082.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2157.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2186.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63688","description":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63688","description":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63688","description":"REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61880","description":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61880","description":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61888","description":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61888","description":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64585","description":"REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64585","description":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64585","description":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57295","description":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57295","description":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64583","description":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64583","description":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66250","description":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66250","description":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37265","description":"REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6015.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6316.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37265","description":"REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6015.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6316.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37266","description":"REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2150.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2258.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37266","description":"REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2150.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2258.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37263","description":"REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4783.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5023.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37263","description":"REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4783.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5023.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37264","description":"REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1923.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2019.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37264","description":"REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1923.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2019.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37273","description":"REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7772.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8160.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37273","description":"REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7772.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8160.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37274","description":"REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2190.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2300.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37274","description":"REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2190.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2300.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37271","description":"REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9306.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9772.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37271","description":"REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9306.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9772.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37272","description":"REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2059.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2162.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37272","description":"REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2059.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2162.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37277","description":"REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13586.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14266.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37277","description":"REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13586.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14266.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37275","description":"REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9053.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9506.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37275","description":"REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9053.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9506.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37276","description":"REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3047.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3199.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37276","description":"REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3047.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3199.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37269","description":"REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10178.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10687.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37269","description":"REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10178.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10687.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37270","description":"REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3080.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3234.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37270","description":"REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3080.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3234.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37267","description":"REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4589.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4818.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37267","description":"REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4589.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4818.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37268","description":"REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2960.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3108.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37268","description":"REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2960.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3108.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37298","description":"REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3004.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3154.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37298","description":"REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3004.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3154.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37299","description":"REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37299","description":"REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37296","description":"REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2672.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2805.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37296","description":"REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2672.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2805.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37297","description":"REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37297","description":"REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37256","description":"REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2140.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2247.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37256","description":"REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2140.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2247.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37257","description":"REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37257","description":"REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37254","description":"REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1825.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1916.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37254","description":"REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1825.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1916.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37255","description":"REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37255","description":"REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37260","description":"REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7430.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7802.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37260","description":"REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7430.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7802.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37261","description":"REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2961.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3109.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37261","description":"REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2961.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3109.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37258","description":"REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3138.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3295.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37258","description":"REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3138.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3295.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37259","description":"REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37259","description":"REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37282","description":"REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5372.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5640.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37282","description":"REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5372.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5640.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37283","description":"REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37283","description":"REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37280","description":"REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2376.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2494.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37280","description":"REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2376.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2494.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37281","description":"REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37281","description":"REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37290","description":"REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9380.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9849.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37290","description":"REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9380.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9849.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37291","description":"REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37291","description":"REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37288","description":"REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6868.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7211.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37288","description":"REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6868.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7211.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37289","description":"REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37289","description":"REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37294","description":"REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13390.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14060.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37294","description":"REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13390.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14060.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37292","description":"REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9014.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9465.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37292","description":"REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9014.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9465.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37293","description":"REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3091.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3246.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37293","description":"REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3091.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3246.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37286","description":"REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9133.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9590.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37286","description":"REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9133.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9590.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37287","description":"REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4352.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4570.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37287","description":"REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4352.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4570.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37284","description":"REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4960.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5209.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37284","description":"REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4960.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5209.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37285","description":"REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2456.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2579.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37285","description":"REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2456.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2579.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37278","description":"REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3413.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3584.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37278","description":"REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3413.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3584.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37295","description":"REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5287.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5551.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37295","description":"REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5287.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5551.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95991","description":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95991","description":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86430","description":"RHEUMATOID FACTOR QUALITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86431","description":"RHEUMATOID FACTOR QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30150","description":"RHINECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30150","description":"RHINECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30160","description":"RHINECTOMY TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30160","description":"RHINECTOMY TOTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30420","description":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1352.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30420","description":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1352.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30435","description":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1245.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30435","description":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1245.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MAJOR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30450","description":"RHINOPLASTY SECONDARY MAJOR REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1547.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1624.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MAJOR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30450","description":"RHINOPLASTY SECONDARY MAJOR REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1547.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1624.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MINOR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30430","description":"RHINOPLASTY SECONDARY MINOR REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MINOR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30430","description":"RHINOPLASTY SECONDARY MINOR REVISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30462","description":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1479.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30462","description":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1479.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM W/COLUM LNGTH TIP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30460","description":"RHINP DFRM W/COLUM LNGTH TIP ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM W/COLUM LNGTH TIP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30460","description":"RHINP DFRM W/COLUM LNGTH TIP ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM COMPLETE XTRNL PARTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30410","description":"RHINP PRIM COMPLETE XTRNL PARTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM COMPLETE XTRNL PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30410","description":"RHINP PRIM COMPLETE XTRNL PARTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30400","description":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30400","description":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93042","description":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93042","description":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93041","description":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93041","description":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93040","description":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93040","description":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY CHEEK CHIN  AND  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15828","description":"RHYTIDECTOMY CHEEK CHIN  AND  NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY CHEEK CHIN  AND  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15828","description":"RHYTIDECTOMY CHEEK CHIN  AND  NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY FOREHEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15824","description":"RHYTIDECTOMY FOREHEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY FOREHEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15824","description":"RHYTIDECTOMY FOREHEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY GLABELLAR FROWN LINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15826","description":"RHYTIDECTOMY GLABELLAR FROWN LINES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY GLABELLAR FROWN LINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15826","description":"RHYTIDECTOMY GLABELLAR FROWN LINES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15825","description":"RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15825","description":"RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY SMAS FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15829","description":"RHYTIDECTOMY SMAS FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY SMAS FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15829","description":"RHYTIDECTOMY SMAS FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2558.16,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2558.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93451","description":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93451","description":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT VENTRICULAR RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93603","description":"RIGHT VENTRICULAR RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35697","description":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35697","description":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RINGERS LACTATE INFUSION UP TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7120","description":"RINGERS LACTATE INFUSION UP TO 1000 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RINGERS LACTATE INFUSION UP TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7120","description":"RINGERS LACTATE INFUSION UP TO 1000 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24342","description":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24342","description":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90682","description":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90682","description":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67343","description":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67343","description":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50382","description":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50382","description":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53448","description":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53448","description":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50387","description":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50387","description":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53447","description":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53447","description":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33243","description":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1249.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33243","description":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1249.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33974","description":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33974","description":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65930","description":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65930","description":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62142","description":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62142","description":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62256","description":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62256","description":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62258","description":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62258","description":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65436","description":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65436","description":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65435","description":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65435","description":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97602","description":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97602","description":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22864","description":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1834.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1860.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1926.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1953.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22865","description":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2005.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2034.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2105.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2136.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41805","description":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41805","description":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41806","description":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41806","description":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40805","description":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40805","description":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40804","description":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40804","description":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63746","description":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63746","description":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69728","description":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69728","description":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65900","description":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65900","description":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74235","description":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74235","description":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65235","description":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65235","description":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65260","description":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65260","description":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65265","description":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65265","description":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":965.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69205","description":"RMVL FB XTRNL AUDITORY CANAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69205","description":"RMVL FB XTRNL AUDITORY CANAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69200","description":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69200","description":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65220","description":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65220","description":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65222","description":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65222","description":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65210","description":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65210","description":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68530","description":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68530","description":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45915","description":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45915","description":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30320","description":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30320","description":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20525","description":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20525","description":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27086","description":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27086","description":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24200","description":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24200","description":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27091","description":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1468.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1489.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27091","description":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1468.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1489.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33971","description":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33971","description":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65920","description":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65920","description":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67120","description":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67120","description":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67121","description":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67121","description":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33264","description":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33264","description":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33262","description":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33262","description":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33263","description":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33263","description":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54406","description":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54406","description":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33989","description":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33989","description":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66840","description":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66840","description":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL INTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66920","description":"RMVL LENS MATERIAL INTRACAPSULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL INTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66920","description":"RMVL LENS MATERIAL INTRACAPSULAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66852","description":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66852","description":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66850","description":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66850","description":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32491","description":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1282.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1347.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32491","description":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1282.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1347.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32484","description":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1244.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32484","description":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1244.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32482","description":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32482","description":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32480","description":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1286.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32480","description":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1286.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32488","description":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2073.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2177.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32488","description":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2073.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2177.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32486","description":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2027.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2128.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32486","description":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2027.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2128.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32552","description":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32552","description":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50389","description":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50389","description":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54415","description":"RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54415","description":"RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49623","description":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49623","description":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33272","description":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33272","description":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49429","description":"RMVL PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49429","description":"RMVL PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33280","description":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33280","description":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33279","description":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33279","description":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62355","description":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62355","description":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33236","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33236","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33237","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33237","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33238","description":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33238","description":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11008","description":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11008","description":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27488","description":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1056.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27488","description":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1056.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19330","description":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19330","description":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66830","description":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66830","description":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11201","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11201","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11200","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11200","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63662","description":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63662","description":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63661","description":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63661","description":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62365","description":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62365","description":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26392","description":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26392","description":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26416","description":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26416","description":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46754","description":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46754","description":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22864","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1834.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1860.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1926.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1953.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22864","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1834.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1860.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1926.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1953.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22865","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2005.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2034.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2105.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2136.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22865","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2005.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2034.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2105.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2136.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33234","description":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33234","description":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33235","description":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33235","description":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44137","description":"RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44137","description":"RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRNSPLED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50370","description":"RMVL TRNSPLED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1120.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36590","description":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36590","description":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36589","description":"RMVL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36589","description":"RMVL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33980","description":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1528.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1605.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33980","description":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1528.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1605.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67005","description":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67005","description":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67010","description":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67010","description":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11983","description":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11983","description":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33287","description":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33287","description":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33288","description":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33288","description":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29710","description":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29710","description":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53442","description":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53442","description":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57287","description":"RMVL/REVJ SLING STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57287","description":"RMVL/REVJ SLING STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69711","description":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69711","description":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33244","description":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33244","description":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL EXPL X NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50010","description":"RNL EXPL X NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50576","description":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50576","description":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50572","description":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50572","description":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50575","description":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50575","description":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50580","description":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50580","description":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95851","description":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95851","description":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95852","description":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95852","description":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35700","description":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35700","description":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33530","description":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33530","description":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35390","description":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35390","description":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ROTARY WING AIR MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0436","description":"ROTARY WING AIR MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0621","description":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0621","description":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0620","description":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0620","description":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78800","description":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78800","description":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78801","description":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78801","description":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78804","description":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78804","description":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78802","description":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78802","description":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG GT 2 Plus D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78831","description":"RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG GT 2 Plus D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78831","description":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78831","description":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG GT 2 Plus D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78832","description":"RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG GT 2 Plus D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78832","description":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78832","description":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78830","description":"RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78830","description":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78830","description":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79403","description":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79403","description":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INRACAVITARY ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79200","description":"RP THERAPY INRACAVITARY ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INRACAVITARY ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79200","description":"RP THERAPY INRACAVITARY ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79300","description":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79300","description":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79445","description":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79445","description":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79440","description":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79440","description":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRAVENOUS ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79101","description":"RP THERAPY INTRAVENOUS ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRAVENOUS ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79101","description":"RP THERAPY INTRAVENOUS ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY ORAL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79005","description":"RP THERAPY ORAL ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY ORAL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79005","description":"RP THERAPY ORAL ADMINISTRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY UNLISTED PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79999","description":"RP THERAPY UNLISTED PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY UNLISTED PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79999","description":"RP THERAPY UNLISTED PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50840","description":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50840","description":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33411","description":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2884.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3029.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33411","description":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2884.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3029.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33440","description":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2922.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3068.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33440","description":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2922.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3068.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33406","description":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2484.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2608.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33406","description":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2484.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2608.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33410","description":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2189.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2299.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33410","description":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2189.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2299.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62143","description":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62143","description":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36578","description":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36578","description":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36580","description":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36580","description":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36585","description":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1026.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36585","description":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1026.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36583","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36583","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36582","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36582","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36581","description":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36581","description":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63744","description":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63744","description":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69730","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69730","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69719","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69719","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69717","description":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69717","description":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33405","description":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1956.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2054.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33405","description":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1956.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2054.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33983","description":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1985.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2084.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33983","description":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1985.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2084.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33981","description":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33981","description":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62194","description":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62194","description":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62225","description":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62225","description":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62230","description":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62230","description":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20816","description":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1799.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1889.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20816","description":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1799.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1889.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20822","description":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1555.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1576.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1632.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1655.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20822","description":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1555.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1576.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1632.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1655.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20824","description":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1803.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1825.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1893.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1917.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20824","description":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1803.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1825.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1893.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1917.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20827","description":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1597.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1619.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1677.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1700.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20827","description":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1597.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1619.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1677.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1700.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69717","description":"RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26548","description":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26548","description":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68340","description":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68340","description":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27409","description":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27409","description":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33218","description":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33218","description":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33619","description":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2371.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2490.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33619","description":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2371.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2490.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49553","description":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49553","description":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49550","description":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49550","description":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49507","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49507","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49505","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49505","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49501","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49501","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49500","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49500","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49496","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49496","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49495","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49495","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49492","description":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49492","description":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT RDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49491","description":"RPR 1ST INGUN HRNA PRETERM INFT RDC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT RDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49491","description":"RPR 1ST INGUN HRNA PRETERM INFT RDC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33612","description":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1725.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1812.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33612","description":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1725.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1812.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33611","description":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1681.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1765.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33611","description":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1681.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1765.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33220","description":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33220","description":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49596","description":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49596","description":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49595","description":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49595","description":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49592","description":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49592","description":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49591","description":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49591","description":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49594","description":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49594","description":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49593","description":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49593","description":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49618","description":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49618","description":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49617","description":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49617","description":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49614","description":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49614","description":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49613","description":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49613","description":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49616","description":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49616","description":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49615","description":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49615","description":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35190","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35190","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35188","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35188","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35189","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1293.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1358.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35189","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1293.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1358.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33507","description":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33507","description":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1558.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33505","description":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1863.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33505","description":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1863.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33506","description":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1768.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1856.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33506","description":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1768.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1856.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33504","description":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1332.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33504","description":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1332.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33502","description":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33502","description":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33503","description":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33503","description":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33647","description":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1566.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1644.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33647","description":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1566.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1644.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33641","description":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33641","description":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1484.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67902","description":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67902","description":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67901","description":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67901","description":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67903","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67903","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67904","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67904","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67906","description":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67906","description":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35221","description":"RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1275.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35211","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35211","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35216","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1818.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1908.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35216","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1818.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1908.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35226","description":"RPR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35241","description":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1300.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35241","description":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1300.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35246","description":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1346.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35246","description":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1346.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35271","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35271","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35276","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35276","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35266","description":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35266","description":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67908","description":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67908","description":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35286","description":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35286","description":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35281","description":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1396.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1466.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35281","description":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1396.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1466.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33615","description":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1724.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1810.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33615","description":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1724.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1810.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33610","description":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1611.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33610","description":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1611.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33608","description":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1556.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1633.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33608","description":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1556.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1633.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46748","description":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3712.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3898.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46748","description":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3712.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3898.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46746","description":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3427.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3598.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46746","description":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3427.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3598.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY SACROPERINEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46744","description":"RPR CLOACAL ANOMALY SACROPERINEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3112.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3268.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY SACROPERINEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46744","description":"RPR CLOACAL ANOMALY SACROPERINEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3112.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3268.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26540","description":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26540","description":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPL AV CANAL W/WO PROSTC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33670","description":"RPR COMPL AV CANAL W/WO PROSTC VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1697.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1782.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPL AV CANAL W/WO PROSTC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33670","description":"RPR COMPL AV CANAL W/WO PROSTC VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1697.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1782.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33617","description":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1867.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1960.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33617","description":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1867.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1960.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX RETINA DETACH VITRECT  AND MEMBRANE PEEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67113","description":"RPR COMPLEX RETINA DETACH VITRECT  AND MEMBRANE PEEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1499.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1574.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX RETINA DETACH VITRECT  AND MEMBRANE PEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67113","description":"RPR COMPLEX RETINA DETACH VITRECT  AND MEMBRANE PEEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1499.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1574.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35184","description":"RPR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CONGENITAL AV FISTULA THORAX  AND  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35182","description":"RPR CONGENITAL AV FISTULA THORAX  AND  ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1548.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33732","description":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1425.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1497.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33732","description":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1425.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1497.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33500","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1345.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1412.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33500","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1345.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1412.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33501","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33501","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36576","description":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36576","description":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39540","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39540","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39541","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39541","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27675","description":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27675","description":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63707","description":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63707","description":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63709","description":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63709","description":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62120","description":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1858.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1951.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62120","description":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1858.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1951.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27664","description":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27664","description":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27665","description":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27665","description":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27659","description":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27659","description":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR GRF-ENTERIC FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35870","description":"RPR GRF-ENTERIC FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR GRF-ENTERIC FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35870","description":"RPR GRF-ENTERIC FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46740","description":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1916.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2012.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46740","description":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1916.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2012.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46742","description":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2212.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2322.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46742","description":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2212.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2322.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46735","description":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2020.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2121.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46735","description":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2020.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2121.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46730","description":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1757.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1845.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46730","description":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1757.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1845.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33853","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1584.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33853","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1584.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33852","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33852","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33853","description":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1584.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33852","description":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1211.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54340","description":"RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54340","description":"RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS DSJ  and  URTP FLAP/GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54348","description":"RPR HYPOSPADIAS COMPLCTJS DSJ  and  URTP FLAP/GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS DSJ  and  URTP FLAP/GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54348","description":"RPR HYPOSPADIAS COMPLCTJS DSJ  and  URTP FLAP/GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS  AND  URTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54344","description":"RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS  AND  URTP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS  AND  URTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54344","description":"RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS  AND  URTP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS CRIPPLE W/DSJ  and  EXC  and  GRFS/FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54352","description":"RPR HYPOSPADIAS CRIPPLE W/DSJ  and  EXC  and  GRFS/FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1242.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46712","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1950.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2047.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46712","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1950.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2047.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46710","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46710","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33660","description":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1513.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1589.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33660","description":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1513.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1589.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INGUN HERNIA SLIDING ANY AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49525","description":"RPR INGUN HERNIA SLIDING ANY AGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INGUN HERNIA SLIDING ANY AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49525","description":"RPR INGUN HERNIA SLIDING ANY AGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12046","description":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12046","description":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33665","description":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1648.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1731.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33665","description":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1648.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1731.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41250","description":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41250","description":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41251","description":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41251","description":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65286","description":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65286","description":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65273","description":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65273","description":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65272","description":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65272","description":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65270","description":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65270","description":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65285","description":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65285","description":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65275","description":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65275","description":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65280","description":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65280","description":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41252","description":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41252","description":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49606","description":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49606","description":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49605","description":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4527.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49605","description":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4527.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40654","description":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40654","description":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THICKNESS HALF OR LT  VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40652","description":"RPR LIP FULL THICKNESS HALF OR LT  VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40650","description":"RPR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THKNS  GT ONE-HALF VERT HEIGHT/COMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40654","description":"RPR LIP FULL THKNS  GT ONE-HALF VERT HEIGHT/COMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46715","description":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46715","description":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46716","description":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1095.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46716","description":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1095.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39503","description":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5266.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39503","description":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5266.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53449","description":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53449","description":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33496","description":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1506.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33496","description":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1506.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-UNION MTCRPL/PHALANX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26546","description":"RPR NON-UNION MTCRPL/PHALANX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-UNION MTCRPL/PHALANX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26546","description":"RPR NON-UNION MTCRPL/PHALANX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27472","description":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27472","description":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1113.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27470","description":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1108.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27470","description":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1108.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27725","description":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27725","description":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27724","description":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1173.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27724","description":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1173.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28322","description":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28322","description":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25420","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1043.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1095.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25420","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1043.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1095.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25415","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25415","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25405","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25405","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25400","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25400","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30469","description":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1982.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2081.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2154.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2262.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30469","description":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1982.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2081.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2154.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2262.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30468","description":"RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2028.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2130.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2204.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2315.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30468","description":"RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2028.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2130.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2204.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2315.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49610","description":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49610","description":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49611","description":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49611","description":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33926","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2079.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2183.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33926","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2079.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2183.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33925","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1554.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33925","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1554.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43337","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1341.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43337","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1341.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43336","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1259.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43336","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1259.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43332","description":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43332","description":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43335","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43335","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43334","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43334","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49621","description":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49621","description":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49622","description":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49622","description":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PATENT DUXUS ARTERIOSUS DIV 18 YR  AND  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33824","description":"RPR PATENT DUXUS ARTERIOSUS DIV 18 YR  AND  OLDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33822","description":"RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33545","description":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2634.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2766.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33545","description":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2634.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2766.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27696","description":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27696","description":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27695","description":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27695","description":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27652","description":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27652","description":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27405","description":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27405","description":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33917","description":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1325.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33917","description":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1325.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33920","description":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1562.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1640.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33920","description":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1562.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1640.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49555","description":"RPR RECRT FEM HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49555","description":"RPR RECRT FEM HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HRNA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49557","description":"RPR RECRT FEM HRNA INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HRNA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49557","description":"RPR RECRT FEM HRNA INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49520","description":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49520","description":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49521","description":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49521","description":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67101","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67101","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67105","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67105","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67110","description":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67110","description":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1446.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1446.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38115","description":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38115","description":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33720","description":"RPR SINUS VALSALVA ANEURYSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1405.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33720","description":"RPR SINUS VALSALVA ANEURYSM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1405.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33702","description":"RPR SINUS VALSALVA FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1405.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33702","description":"RPR SINUS VALSALVA FISTULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1405.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33710","description":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1768.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1856.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33710","description":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1768.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1856.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49600","description":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49600","description":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68330","description":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68330","description":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68335","description":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68335","description":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38780","description":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38780","description":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28200","description":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28200","description":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25263","description":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25263","description":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25265","description":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25265","description":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25260","description":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25260","description":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25270","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25270","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25272","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25272","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25274","description":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25274","description":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28202","description":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28202","description":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25275","description":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25275","description":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28210","description":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28210","description":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33781","description":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2088.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33781","description":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2088.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33780","description":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2038.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2140.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33780","description":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2038.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2140.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33779","description":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2100.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33779","description":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2100.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33778","description":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2027.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2128.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33778","description":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2027.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2128.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33777","description":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1632.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1714.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33777","description":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1632.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1714.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33775","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1682.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33775","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1682.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33776","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1693.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1778.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33776","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1693.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1778.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33774","description":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1556.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33774","description":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1556.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33770","description":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33770","description":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33771","description":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1874.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33771","description":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1874.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33781","description":"RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2088.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33780","description":"RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2038.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2140.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33779","description":"RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2000.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2100.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33877","description":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3096.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3251.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33877","description":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3096.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3251.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33775","description":"RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1602.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1682.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33774","description":"RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1556.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33771","description":"RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1874.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33770","description":"RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1822.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33778","description":"RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2027.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2128.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33777","description":"RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1632.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1714.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33776","description":"RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1693.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1778.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36575","description":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36575","description":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55060","description":"RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55060","description":"RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33414","description":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1850.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1943.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33414","description":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1850.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1943.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65290","description":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65290","description":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26428","description":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26428","description":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26426","description":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26426","description":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26352","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26352","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26350","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26350","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26358","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26358","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26356","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26357","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26356","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26357","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26370","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26370","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26372","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26372","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26373","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26373","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35190","description":"RPR/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA HEAD  and  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35188","description":"RPR/TRAUMATIC AV FISTULA HEAD  and  NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA THORAX  and  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35189","description":"RPR/TRAUMATIC AV FISTULA THORAX  and  ABDOMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1293.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1358.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33226","description":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33226","description":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33215","description":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33215","description":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36597","description":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36597","description":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.505,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.922,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE MRNA LIPID NANOPARTICLES FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90683","description":"RSV VACCINE MRNA LIPID NANOPARTICLES FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE MRNA LIPID NANOPARTICLES FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90683","description":"RSV VACCINE MRNA LIPID NANOPARTICLES FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.606,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.665,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37193","description":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1327.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37193","description":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1327.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81334","description":"RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUSSELL VIPER VENOM TIME DILUTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85613","description":"RUSSELL VIPER VENOM TIME DILUTED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUSSELL VIPER VENON TIME UNDILUTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85612","description":"RUSSELL VIPER VENON TIME UNDILUTED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.159,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPEN/PC TIBIAL/PA;IVASC LITH  and  TL SP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9773","description":"RVSC EVAR OPEN/PC TIBIAL/PA;IVASC LITH  and  TL SP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7606.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7986.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8267.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8680.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPN/P TIB/PA;IVASC LITH and TL STNT PL and ATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9775","description":"RVSC EVAR OPN/P TIB/PA;IVASC LITH and TL STNT PL and ATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10420.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10787.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11326.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9924.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPN/PERC TIB/PER ART IVASC LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9772","description":"RVSC EVAR OPN/PERC TIB/PER ART IVASC LITHOTRIPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3522.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3698.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3828.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4020.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPN/PERQ TIB/PER ART;IVASC LITH and ATHREC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9774","description":"RVSC EVAR OPN/PERQ TIB/PER ART;IVASC LITH and ATHREC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7606.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7986.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8267.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8680.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CONTACT CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92311","description":"RX AND FITG CONTACT CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92312","description":"RX AND FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92313","description":"RX AND FITG CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92314","description":"RX AND FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92315","description":"RX CONTACT CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEAL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92316","description":"RX CONTACT CORNEAL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92317","description":"RX CONTACT CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92315","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92315","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92316","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92316","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92314","description":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92314","description":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92311","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92311","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92312","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92312","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92313","description":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92313","description":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92317","description":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92317","description":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95954","description":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95954","description":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Red cell survival study","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78130","description":"Red cell survival study","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Red cell survival study","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78130","description":"Red cell survival study","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair lumbar hernia","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49540","description":"Repair lumbar hernia","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Repair lumbar hernia","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49540","description":"Repair lumbar hernia","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Reptilase test","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85635","description":"Reptilase test","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Respiratory flow volume loop","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94375","description":"Respiratory flow volume loop","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Respiratory flow volume loop","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94375","description":"Respiratory flow volume loop","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Right ventricular recording","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93603","description":"Right ventricular recording","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Right ventricular recording","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93603","description":"Right ventricular recording","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76831","description":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76831","description":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND FUNCTION STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78232","description":"SALIVARY GLAND FUNCTION STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND FUNCTION STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78232","description":"SALIVARY GLAND FUNCTION STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78230","description":"SALIVARY GLAND IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78230","description":"SALIVARY GLAND IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING SERIAL IMAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78231","description":"SALIVARY GLAND IMAGING SERIAL IMAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING SERIAL IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78231","description":"SALIVARY GLAND IMAGING SERIAL IMAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58700","description":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58700","description":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58720","description":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58720","description":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58770","description":"SALPINGOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58770","description":"SALPINGOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34530","description":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34530","description":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91320","description":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91320","description":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91323","description":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91323","description":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91322","description":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91322","description":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBRT TX DEL POSITRON EMISSION-BASED DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0563","description":"SBRT TX DEL POSITRON EMISSION-BASED DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBRT TX DEL POSITRON EMISSION-BASED DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0563","description":"SBRT TX DEL POSITRON EMISSION-BASED DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99231","description":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99232","description":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99233","description":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99233","description":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99233","description":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99232","description":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99232","description":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99231","description":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99231","description":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99480","description":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99480","description":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99479","description":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99479","description":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99478","description":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99478","description":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99310","description":"SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99308","description":"SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99309","description":"SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99310","description":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99310","description":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99308","description":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99308","description":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99309","description":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99309","description":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99307","description":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99307","description":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99307","description":"SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99493","description":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99493","description":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTIMICROBIAL AGT DISK METHOD PER PLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87184","description":"SC STD ANTIMICROBIAL AGT DISK METHOD PER PLATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT AGAR DILUTION METHOD PER AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87181","description":"SC STD ANTMCRB AGT AGAR DILUTION METHOD PER AGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT ENZYME DETCJ PER ENZYME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87185","description":"SC STD ANTMCRB AGT ENZYME DETCJ PER ENZYME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87188","description":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87188","description":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MICRODILUTION/AGAR DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87186","description":"SC STD ANTMCRB AGT MICRODILUTION/AGAR DILUTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MICRODILUTION/AGAR MLC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87187","description":"SC STD ANTMCRB AGT MICRODILUTION/AGAR MLC EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MYOBACTERIA PROPORTION METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87190","description":"SC STD ANTMCRB AGT MYOBACTERIA PROPORTION METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD CARBAPENEMASE NZM DETCJ MULT IA QUAL ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87182","description":"SC STD CARBAPENEMASE NZM DETCJ MULT IA QUAL ISOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD CARBAPENEMASE NZM DETCJ MULT IA QUAL ISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87182","description":"SC STD CARBAPENEMASE NZM DETCJ MULT IA QUAL ISOL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCAPULOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23400","description":"SCAPULOPEXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCAPULOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23400","description":"SCAPULOPEXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL APPLICATION TANTALUM RING PROTON BEAM TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8030","description":"SCLERAL APPLICATION TANTALUM RING PROTON BEAM TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL APPLICATION TANTALUM RING PROTON BEAM TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8030","description":"SCLERAL APPLICATION TANTALUM RING PROTON BEAM TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL COVER SHELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2627","description":"SCLERAL COVER SHELL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0515","description":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0515","description":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67255","description":"SCLERAL REINFORCEMENT SPX W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67255","description":"SCLERAL REINFORCEMENT SPX W/GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67250","description":"SCLERAL REINFORCEMENT SPX W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67250","description":"SCLERAL REINFORCEMENT SPX W/O GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49185","description":"SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49185","description":"SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77063","description":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77063","description":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77067","description":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77067","description":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST PURE TONE AIR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92551","description":"SCREENING TEST PURE TONE AIR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST PURE TONE AIR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92551","description":"SCREENING TEST PURE TONE AIR ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCROTAL EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55110","description":"SCROTAL EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCROTAL EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55110","description":"SCROTAL EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCROTOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55180","description":"SCROTOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCROTOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55180","description":"SCROTOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCROTOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55175","description":"SCROTOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SCROTOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55175","description":"SCROTOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49900","description":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49900","description":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37186","description":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37186","description":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61619","description":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61619","description":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21275","description":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21275","description":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61618","description":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61618","description":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEDIMENTATION RATE RBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85652","description":"SEDIMENTATION RATE RBC AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEDIMENTATION RATE RBC NON-AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85651","description":"SEDIMENTATION RATE RBC NON-AUTOMATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7294","description":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2758.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7294","description":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2758.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0673","description":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0673","description":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELECT PICTURE AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92583","description":"SELECT PICTURE AUDIOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-HELP/PEER SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0038","description":"SELF-HELP/PEER SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-HELP/PEER SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0038","description":"SELF-HELP/PEER SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99474","description":"SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99474","description":"SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-MEAS BP PT EDUCAJ/TRAING  and  DEV CALIBRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99473","description":"SELF-MEAS BP PT EDUCAJ/TRAING  and  DEV CALIBRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-MEAS BP PT EDUCAJ/TRAING  and  DEV CALIBRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99473","description":"SELF-MEAS BP PT EDUCAJ/TRAING  and  DEV CALIBRATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORINEURAL ACUITY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92575","description":"SENSORINEURAL ACUITY LEVEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORINEURAL ACUITY LEVEL TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92575","description":"SENSORINEURAL ACUITY LEVEL TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORINEURAL ACUITY LEVEL TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92575","description":"SENSORINEURAL ACUITY LEVEL TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92060","description":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92060","description":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPT9 GENE PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81327","description":"SEPT9 GENE PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30620","description":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30620","description":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30520","description":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30520","description":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23170","description":"SEQUESTRECTOMY CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23170","description":"SEQUESTRECTOMY CLAVICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25145","description":"SEQUESTRECTOMY FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25145","description":"SEQUESTRECTOMY FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24138","description":"SEQUESTRECTOMY OLECRANON PROCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24138","description":"SEQUESTRECTOMY OLECRANON PROCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY RADIAL HEAD OR NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24136","description":"SEQUESTRECTOMY RADIAL HEAD OR NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY RADIAL HEAD OR NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24136","description":"SEQUESTRECTOMY RADIAL HEAD OR NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23172","description":"SEQUESTRECTOMY SCAPULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23172","description":"SEQUESTRECTOMY SCAPULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24134","description":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24134","description":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERPINA1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81332","description":"SERPINA1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM BACTERICIDAL TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87197","description":"SERUM BACTERICIDAL TITER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM SCREENING  PCT  REACTIVE ANTIBODY QUICK METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86808","description":"SERUM SCREENING  PCT  REACTIVE ANTIBODY QUICK METH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM SCREENING  PCT  REACTIVE ANTIBODY STANDRD METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86807","description":"SERUM SCREENING  PCT  REACTIVE ANTIBODY STANDRD METH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99050","description":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99050","description":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY FIRST TOE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28315","description":"SESAMOIDECTOMY FIRST TOE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY FIRST TOE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28315","description":"SESAMOIDECTOMY FIRST TOE SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26185","description":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26185","description":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86413","description":"SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86413","description":"SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65860","description":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65860","description":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65870","description":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65870","description":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65880","description":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65880","description":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65875","description":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65875","description":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65865","description":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65865","description":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING TARSORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67710","description":"SEVERING TARSORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING TARSORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67710","description":"SEVERING TARSORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67031","description":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67031","description":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEXA BN DNSITY STDY 1 OR GT  SITE; APPNDICULR SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0130","description":"SEXA BN DNSITY STDY 1 OR GT  SITE; APPNDICULR SKEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEXA BN DNSITY STDY 1 OR GT  SITE; APPNDICULR SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0130","description":"SEXA BN DNSITY STDY 1 OR GT  SITE; APPNDICULR SKEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45335","description":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45335","description":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45338","description":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45338","description":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45337","description":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45337","description":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45349","description":"SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45349","description":"SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11313","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11313","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11310","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11310","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11308","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11308","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11305","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11305","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11306","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11306","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11307","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11307","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11300","description":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11300","description":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95926","description":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95926","description":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95927","description":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95927","description":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95938","description":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95938","description":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95925","description":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95925","description":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26477","description":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26477","description":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26479","description":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26479","description":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33755","description":"SHUNT ASCENDING AORTA PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33755","description":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33755","description":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT CENTRAL W/PROSTHETIC GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33764","description":"SHUNT CENTRAL W/PROSTHETIC GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT CENTRAL W/PROSTHETIC GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33764","description":"SHUNT CENTRAL W/PROSTHETIC GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33762","description":"SHUNT DESCENDING AORTA PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1164.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33762","description":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1164.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33762","description":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1164.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33750","description":"SHUNT SUBCLAVIAN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33750","description":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33750","description":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1146.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75809","description":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75809","description":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11311","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11311","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11312","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11312","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11303","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11303","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11301","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11301","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11302","description":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11302","description":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70390","description":"SIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70390","description":"SIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42340","description":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42340","description":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42335","description":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42335","description":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42330","description":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42330","description":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SICKLING RBC REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85660","description":"SICKLING RBC REDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45346","description":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1994.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2094.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45346","description":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1994.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2094.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45334","description":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45334","description":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45330","description":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45330","description":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX NDSC US XM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45341","description":"SIGMOIDOSCOPY FLX NDSC US XM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX NDSC US XM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45341","description":"SIGMOIDOSCOPY FLX NDSC US XM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45347","description":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45347","description":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45340","description":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45340","description":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45342","description":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45342","description":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45331","description":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45331","description":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45332","description":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45332","description":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45333","description":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45333","description":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45350","description":"SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45350","description":"SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGN LANGUAGE/ORAL INTEPR SERVICES PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1013","description":"SIGN LANGUAGE/ORAL INTEPR SERVICES PER 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGN LANGUAGE/ORAL INTEPR SERVICES PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1013","description":"SIGN LANGUAGE/ORAL INTEPR SERVICES PER 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93278","description":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93278","description":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE CYSTOMETROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51725","description":"SIMPLE CYSTOMETROGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61700","description":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3041.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3193.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61700","description":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3041.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3193.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61702","description":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3578.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3757.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61702","description":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3578.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3757.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12018","description":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12018","description":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12016","description":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12016","description":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12011","description":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12011","description":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12013","description":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12013","description":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12017","description":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12017","description":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12014","description":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12014","description":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12015","description":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12015","description":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12007","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12007","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12001","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12001","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12004","description":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12004","description":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51736","description":"SIMPLE UROFLOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51736","description":"SIMPLE UROFLOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2065","description":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3431.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3602.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2065","description":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3431.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3602.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2114","description":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2114","description":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92546","description":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92546","description":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31086","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31086","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31087","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31087","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31081","description":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31081","description":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31084","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31084","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31085","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31085","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31032","description":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31032","description":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31051","description":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31051","description":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31090","description":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31090","description":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31080","description":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31080","description":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31070","description":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31070","description":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31075","description":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31075","description":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31020","description":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31020","description":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31030","description":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31030","description":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY SPHENOID W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31050","description":"SINUSOTOMY SPHENOID W/WO BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY SPHENOID W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31050","description":"SINUSOTOMY SPHENOID W/WO BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIPULEUCEL-T AUTO CD54 PLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2043","description":"SIPULEUCEL-T AUTO CD54 PLUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61090.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61540.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIPULEUCEL-T AUTO CD54 PLUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2043","description":"SIPULEUCEL-T AUTO CD54 PLUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61090.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61540.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST CANDIDA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86485","description":"SKIN TEST CANDIDA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST HISTOPLASMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86510","description":"SKIN TEST HISTOPLASMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST TUBERCULOSIS INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86580","description":"SKIN TEST TUBERCULOSIS INTRADERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST TUBERCULOSIS INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86580","description":"SKIN TEST TUBERCULOSIS INTRADERMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST UNLISTED ANTIGEN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86486","description":"SKIN TEST UNLISTED ANTIGEN EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2710","description":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2710","description":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36252","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36252","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1227.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36251","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36251","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36223","description":"SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1450.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1523.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36223","description":"SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1450.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1523.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36222","description":"SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36222","description":"SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36228","description":"SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1112.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1167.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36228","description":"SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1112.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1167.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36224","description":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1802.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1892.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36224","description":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1802.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1892.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36015","description":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36015","description":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36011","description":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36011","description":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36012","description":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36012","description":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36225","description":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36225","description":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36226","description":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1752.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1839.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36226","description":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1752.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1839.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36227","description":"SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36227","description":"SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36014","description":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36014","description":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36216","description":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36216","description":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":940.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36246","description":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36246","description":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36247","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36247","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36217","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1574.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1653.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36217","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1574.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1653.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36245","description":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1099.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36245","description":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1099.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36215","description":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36215","description":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36248","description":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36248","description":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36218","description":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36218","description":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95807","description":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95807","description":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPERATION STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57288","description":"SLING OPERATION STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPERATION STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57288","description":"SLING OPERATION STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53440","description":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53440","description":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54001","description":"SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54001","description":"SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54000","description":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54000","description":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95800","description":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95800","description":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.956,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81329","description":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81329","description":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81336","description":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81336","description":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS KNOWN FAMILIAL SEQ VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81337","description":"SMN1 GENE ANALYSIS KNOWN FAMILIAL SEQ VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS KNOWN FAMILIAL SEQ VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81337","description":"SMN1 GENE ANALYSIS KNOWN FAMILIAL SEQ VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPD1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81330","description":"SMPD1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12005","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12005","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12006","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12006","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC CPLX SPEC STAIN OVA AND PARASITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87209","description":"SMR PRIM SRC CPLX SPEC STAIN OVA AND PARASITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC FLUORESCENT and /AFS BCT FNGI PARASIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87206","description":"SMR PRIM SRC FLUORESCENT and /AFS BCT FNGI PARASIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87205","description":"SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC SPEC STAIN BODIES/PARASITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87207","description":"SMR PRIM SRC SPEC STAIN BODIES/PARASITS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC WET MOUNT NFCT AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87210","description":"SMR PRIM SRC WET MOUNT NFCT AGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC WET MOUNT NFCT AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87210","description":"SMR PRIM SRC WET MOUNT NFCT AGT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNIP INCISION LACRIMAL PUNCTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68440","description":"SNIP INCISION LACRIMAL PUNCTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNIP INCISION LACRIMAL PUNCTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68440","description":"SNIP INCISION LACRIMAL PUNCTUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNRPN/UBE3A METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81331","description":"SNRPN/UBE3A METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81464","description":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3038.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81464","description":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3038.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CLL FR DNA ALYS CPY NMBR and MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81463","description":"SO NEO GSAP CLL FR DNA ALYS CPY NMBR and MCRSTL INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1243.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CLL FR DNA ALYS CPY NMBR and MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81463","description":"SO NEO GSAP CLL FR DNA ALYS CPY NMBR and MCRSTL INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1243.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CLL FR DNA/DNA and RNA CPY NMBR and REARGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81462","description":"SO NEO GSAP CLL FR DNA/DNA and RNA CPY NMBR and REARGMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CLL FR DNA/DNA and RNA CPY NMBR and REARGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81462","description":"SO NEO GSAP CLL FR DNA/DNA and RNA CPY NMBR and REARGMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81458","description":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81458","description":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81457","description":"SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81457","description":"SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81459","description":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2762.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81459","description":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2762.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT GSAP DNA/DNA and RNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81455","description":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT GSAP DNA/DNA and RNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2697.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81456","description":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT RNA ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2697.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81456","description":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT RNA ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2697.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9563","description":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9563","description":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM SERUM PLASMA OR WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84295","description":"SODIUM SERUM PLASMA OR WHOLE BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLID ORGAN NEOPLASM GSAP 5-50 RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81449","description":"SOLID ORGAN NEOPLASM GSAP 5-50 RNA ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLID ORGAN NEOPLASM GSAP 5-50 RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81449","description":"SOLID ORGAN NEOPLASM GSAP 5-50 RNA ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88313","description":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88313","description":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77370","description":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77370","description":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77321","description":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77321","description":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2730","description":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2730","description":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88312","description":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88312","description":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN I AND R GROUP III ENZYME CONSITUENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88319","description":"SPECIAL STAIN I AND R GROUP III ENZYME CONSITUENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN I and R HISTOCHEMICAL W/FROZEN TISSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88314","description":"SPECIAL STAIN I and R HISTOCHEMICAL W/FROZEN TISSU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL TREATMENT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77470","description":"SPECIAL TREATMENT PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL TREATMENT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77470","description":"SPECIAL TREATMENT PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY CARE TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0434","description":"SPECIALTY CARE TRANSPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY CARE TRANSPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0434","description":"SPECIALTY CARE TRANSPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIFIC GRAVITY EXCEPT URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84315","description":"SPECIFIC GRAVITY EXCEPT URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84311","description":"SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92555","description":"SPEECH AUDIOMETRY THRESHOLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92555","description":"SPEECH AUDIOMETRY THRESHOLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92556","description":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92556","description":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH THERAPY RE-EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9152","description":"SPEECH THERAPY RE-EVALUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH THERAPY RE-EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9152","description":"SPEECH THERAPY RE-EVALUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2201","description":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2201","description":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2202","description":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2202","description":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2200","description":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2200","description":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2101","description":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2101","description":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2100","description":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2100","description":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2102","description":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2102","description":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2301","description":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2301","description":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2302","description":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2302","description":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2300","description":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2300","description":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46760","description":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46760","description":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46080","description":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46080","description":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46750","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46750","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46751","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46751","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46761","description":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46761","description":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78185","description":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78185","description":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38102","description":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38102","description":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38101","description":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38101","description":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38101","description":"SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38100","description":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38100","description":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLENOPORTOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75810","description":"SPLENOPORTOGRAPY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENOPORTOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75810","description":"SPLENOPORTOGRAPY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.038,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT /1  PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15120","description":"SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT /1  PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1  PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15121","description":"SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1  PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15100","description":"SPLIT AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15101","description":"SPLIT AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15120","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15120","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15121","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15121","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15100","description":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15100","description":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15101","description":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15101","description":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94010","description":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94010","description":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92541","description":"SPONTANEOUS NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92541","description":"SPONTANEOUS NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS W/GAZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92531","description":"SPONTANEOUS NYSTAGMUS W/GAZE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS W/GAZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92531","description":"SPONTANEOUS NYSTAGMUS W/GAZE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89220","description":"SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37766","description":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37766","description":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37765","description":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37765","description":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STAGGERED SPONDAIC WORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92572","description":"STAGGERED SPONDAIC WORD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGGERED SPONDAIC WORD TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92572","description":"STAGGERED SPONDAIC WORD TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGGERED SPONDAIC WORD TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92572","description":"STAGGERED SPONDAIC WORD TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69660","description":"STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69660","description":"STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69661","description":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69661","description":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPES MOBILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69650","description":"STAPES MOBILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPES MOBILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69650","description":"STAPES MOBILIZATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1468.665,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1468.665,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1460.151,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1460.151,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1499.388,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1499.388,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.818,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.818,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1468.665,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1460.151,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.171,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.171,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1499.388,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.818,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.807,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1071.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEM CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86367","description":"STEM CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST PURE TONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92565","description":"STENGER TEST PURE TONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST PURE TONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92565","description":"STENGER TEST PURE TONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST SPEECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92577","description":"STENGER TEST SPEECH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST SPEECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92577","description":"STENGER TEST SPEECH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S1091","description":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1091","description":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36908","description":"STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36908","description":"STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77373","description":"STEREOTACTIC BODY RADIATION DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77435","description":"STEREOTACTIC BODY RADIATION MANAGEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77435","description":"STEREOTACTIC BODY RADIATION MANAGEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77373","description":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77373","description":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61750","description":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1263.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61750","description":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1263.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61783","description":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61783","description":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61798","description":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61798","description":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1237.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61796","description":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61796","description":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63620","description":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63620","description":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63621","description":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63621","description":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77432","description":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77432","description":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21627","description":"STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STIMULUS EVOKED RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51792","description":"STIMULUS EVOKED RESPONSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STIMULUS EVOKED RESPONSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51792","description":"STIMULUS EVOKED RESPONSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59525","description":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59525","description":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67318","description":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67318","description":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67340","description":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67340","description":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67334","description":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67334","description":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67331","description":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67331","description":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67311","description":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67311","description":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67314","description":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67314","description":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67312","description":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67312","description":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67316","description":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67316","description":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67332","description":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67332","description":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ANKLE  and /FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29540","description":"STRAPPING ANKLE  and /FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ANKLE  and /FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29540","description":"STRAPPING ANKLE  and /FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ELBOW/WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29260","description":"STRAPPING ELBOW/WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ELBOW/WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29260","description":"STRAPPING ELBOW/WRIST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29280","description":"STRAPPING HAND/FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29280","description":"STRAPPING HAND/FINGER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29520","description":"STRAPPING HIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29520","description":"STRAPPING HIP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29530","description":"STRAPPING KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29530","description":"STRAPPING KNEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29240","description":"STRAPPING SHOULDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29240","description":"STRAPPING SHOULDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29200","description":"STRAPPING THORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29200","description":"STRAPPING THORAX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29550","description":"STRAPPING TOES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29550","description":"STRAPPING TOES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING UNNA BOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29580","description":"STRAPPING UNNA BOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING UNNA BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29580","description":"STRAPPING UNNA BOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STREPTOKINASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86590","description":"STREPTOKINASE ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9600","description":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4207.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5259.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9600","description":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4207.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5259.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRPTCS PNEUM ANTIBODY IGG SEROTYPES MLT IA QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86581","description":"STRPTCS PNEUM ANTIBODY IGG SEROTYPES MLT IA QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRPTCS PNEUM ANTIBODY IGG SEROTYPES MLT IA QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86581","description":"STRPTCS PNEUM ANTIBODY IGG SEROTYPES MLT IA QUAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61751","description":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61751","description":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61781","description":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61781","description":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61782","description":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61782","description":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61760","description":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61760","description":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1414.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61863","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1352.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1420.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61863","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1352.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1420.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61864","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61864","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61867","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2040.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2142.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61867","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2040.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2142.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61868","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61868","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61770","description":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1526.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61770","description":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1526.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61799","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61799","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61797","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61797","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63610","description":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63610","description":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STUMP ELONGATION UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24935","description":"STUMP ELONGATION UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STUMP ELONGATION UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24935","description":"STUMP ELONGATION UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15277","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15277","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15278","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15278","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15275","description":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15275","description":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15276","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15276","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCONJUNCTIVAL INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68200","description":"SUBCONJUNCTIVAL INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCONJUNCTIVAL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68200","description":"SUBCONJUNCTIVAL INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11980","description":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11980","description":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96370","description":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96370","description":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96369","description":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96369","description":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11950","description":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11950","description":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11954","description":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11954","description":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11951","description":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11951","description":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11952","description":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11952","description":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61531","description":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61531","description":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61000","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61000","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61001","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61001","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30140","description":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30140","description":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99462","description":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99462","description":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99469","description":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99469","description":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96371","description":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96371","description":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT  LT  1500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99478","description":"SUBSEQUENT INTENSIVE CARE INFANT  LT  1500 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99479","description":"SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99480","description":"SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99476","description":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99476","description":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBTEMPORAL CRANIAL DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61340","description":"SUBTEMPORAL CRANIAL DECOMPRESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1292.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1357.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBTEMPORAL CRANIAL DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61340","description":"SUBTEMPORAL CRANIAL DECOMPRESSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1292.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1357.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15876","description":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15876","description":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84375","description":"SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS 1 QUALITATAIVE EACH SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84376","description":"SUGARS MONO DI AND OLIGOS 1 QUALITATAIVE EACH SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS 1 QUANTITATIVE EACH SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84378","description":"SUGARS MONO DI AND OLIGOS 1 QUANTITATIVE EACH SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS MLT QUALITATIVE EACH SPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84377","description":"SUGARS MONO DI AND OLIGOS MLT QUALITATIVE EACH SPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS MLT QUANTITATIVE EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84379","description":"SUGARS MONO DI AND OLIGOS MLT QUANTITATIVE EA SPEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9700","description":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9700","description":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99377","description":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99377","description":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99378","description":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99378","description":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99379","description":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99379","description":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99380","description":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99380","description":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99375","description":"SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58180","description":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58180","description":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPRAHYOID LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38700","description":"SUPRAHYOID LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPRAHYOID LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38700","description":"SUPRAHYOID LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36253","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1782.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1871.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36254","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1751.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1839.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36253","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1782.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1871.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36254","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1751.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1839.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99374","description":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99374","description":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77438","description":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77438","description":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77437","description":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77437","description":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC/ORTHVLT IMG GDN US F/PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77439","description":"SURF RADJ THER SUPFC/ORTHVLT IMG GDN US F/PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC/ORTHVLT IMG GDN US F/PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77439","description":"SURF RADJ THER SUPFC/ORTHVLT IMG GDN US F/PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77436","description":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77436","description":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77789","description":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77789","description":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31820","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31820","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31825","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31825","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69706","description":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2145.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2253.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2325.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2332.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2441.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2448.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2527.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2653.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69706","description":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2145.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2253.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2325.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2332.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2441.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2448.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2527.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2653.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69705","description":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2072.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2176.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2249.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2252.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2362.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2365.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2445.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2567.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69705","description":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2072.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2176.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2249.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2252.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2362.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2365.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2445.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2567.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46285","description":"SURG TX ANAL FISTULA 2ND STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46285","description":"SURG TX ANAL FISTULA 2ND STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA INTERSPHINCTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46275","description":"SURG TX ANAL FISTULA INTERSPHINCTERIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA INTERSPHINCTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46275","description":"SURG TX ANAL FISTULA INTERSPHINCTERIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46270","description":"SURG TX ANAL FISTULA SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46270","description":"SURG TX ANAL FISTULA SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33548","description":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2536.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2663.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33548","description":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2536.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2663.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29826","description":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29826","description":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29828","description":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29828","description":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29806","description":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29806","description":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":979.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29821","description":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29821","description":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29824","description":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29824","description":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29822","description":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29822","description":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29820","description":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29820","description":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29819","description":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29819","description":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29807","description":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29807","description":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29825","description":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29825","description":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29827","description":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29827","description":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":989.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29823","description":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29823","description":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4268","description":"SURGRAFT FT PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87181","description":"SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87184","description":"SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87185","description":"SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87186","description":"SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87187","description":"SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87190","description":"SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64832","description":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64832","description":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43410","description":"SUTR ESOPHGL WND/INJ CRV APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43410","description":"SUTR ESOPHGL WND/INJ CRV APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43415","description":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2250.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2363.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43415","description":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2250.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2363.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27381","description":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27381","description":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44605","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44605","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44604","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44604","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69740","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69740","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69745","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69745","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1143.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64857","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64857","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64856","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64856","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27386","description":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27386","description":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33321","description":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33321","description":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33320","description":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33320","description":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67935","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67935","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67930","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67930","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38382","description":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38382","description":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38380","description":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38380","description":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38381","description":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38381","description":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64834","description":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64834","description":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64835","description":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64835","description":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE ULNAR MOTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64836","description":"SUTURE 1 NERVE ULNAR MOTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE ULNAR MOTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64836","description":"SUTURE 1 NERVE ULNAR MOTOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64861","description":"SUTURE BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64861","description":"SUTURE BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64831","description":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64831","description":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64837","description":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64837","description":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64859","description":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64859","description":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47900","description":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47900","description":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1217.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64864","description":"SUTURE FACIAL NERVE EXTRACRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64864","description":"SUTURE FACIAL NERVE EXTRACRANIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64865","description":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64865","description":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE INFRAPATELLAR TENDON PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27380","description":"SUTURE INFRAPATELLAR TENDON PRIMARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE INFRAPATELLAR TENDON PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27380","description":"SUTURE INFRAPATELLAR TENDON PRIMARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66682","description":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66682","description":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE LUMBAR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64862","description":"SUTURE LUMBAR PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE LUMBAR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64862","description":"SUTURE LUMBAR PLEXUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44850","description":"SUTURE MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44850","description":"SUTURE MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64872","description":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64872","description":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64876","description":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64876","description":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64874","description":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64874","description":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE PHARYNX WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42900","description":"SUTURE PHARYNX WOUND/INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE PHARYNX WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42900","description":"SUTURE PHARYNX WOUND/INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE POSTERIOR TIBIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64840","description":"SUTURE POSTERIOR TIBIAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE POSTERIOR TIBIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64840","description":"SUTURE POSTERIOR TIBIAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27385","description":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27385","description":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33322","description":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33322","description":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64858","description":"SUTURE SCIATIC NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1091.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64858","description":"SUTURE SCIATIC NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1091.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TONGUE LIP MICROGNATHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41510","description":"SUTURE TONGUE LIP MICROGNATHIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TONGUE LIP MICROGNATHIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41510","description":"SUTURE TONGUE LIP MICROGNATHIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31800","description":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31800","description":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31805","description":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31805","description":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE/REPAIR TESTICULAR INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54670","description":"SUTURE/REPAIR TESTICULAR INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE/REPAIR TESTICULAR INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54670","description":"SUTURE/REPAIR TESTICULAR INJURY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99060","description":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99060","description":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99056","description":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99056","description":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SWEAT COLLECTION IONTOPHORESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89230","description":"SWEAT COLLECTION IONTOPHORESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64802","description":"SYMPATHECTOMY CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64802","description":"SYMPATHECTOMY CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64804","description":"SYMPATHECTOMY CERVICOTHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64804","description":"SYMPATHECTOMY CERVICOTHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64820","description":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64820","description":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64818","description":"SYMPATHECTOMY LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64818","description":"SYMPATHECTOMY LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY RADIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64821","description":"SYMPATHECTOMY RADIAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY RADIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64821","description":"SYMPATHECTOMY RADIAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64823","description":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64823","description":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64809","description":"SYMPATHECTOMY THORACOLUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":980.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64809","description":"SYMPATHECTOMY THORACOLUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":980.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64822","description":"SYMPATHECTOMY ULNAR ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64822","description":"SYMPATHECTOMY ULNAR ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50540","description":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50540","description":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNDACTYLIZATION TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28280","description":"SYNDACTYLIZATION TOES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNDACTYLIZATION TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28280","description":"SYNDACTYLIZATION TOES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY CARPOMETACARPAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26130","description":"SYNOVECTOMY CARPOMETACARPAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY CARPOMETACARPAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26130","description":"SYNOVECTOMY CARPOMETACARPAL JOINT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25118","description":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25118","description":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28072","description":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28072","description":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28088","description":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28088","description":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28086","description":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28086","description":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC SENTENCE IDENTIFICATION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92576","description":"SYNTHETIC SENTENCE IDENTIFICATION TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC SENTENCE IDENTIFICATION TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92576","description":"SYNTHETIC SENTENCE IDENTIFICATION TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28070","description":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28070","description":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26135","description":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26135","description":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26140","description":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26140","description":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26145","description":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26145","description":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25119","description":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25119","description":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86592","description":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86593","description":"SYPHILIS TEST QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Scleral cover shell","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2627","description":"Scleral cover shell","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Scleral cover shell","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2627","description":"Scleral cover shell","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Select picture audiometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92583","description":"Select picture audiometry","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Select picture audiometry","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92583","description":"Select picture audiometry","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Simple cystometrogram","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51725","description":"Simple cystometrogram","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Simple cystometrogram","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51725","description":"Simple cystometrogram","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS ABSOLUTE CD4 AND CD8 COUNT RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86360","description":"T CELLS ABSOLUTE CD4 AND CD8 COUNT RATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.406,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS ABSOLUTE CD4 COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86361","description":"T CELLS ABSOLUTE CD4 COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86359","description":"T CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS PARENTERAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7525","description":"TACROLIMUS PARENTERAL 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS PARENTERAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7525","description":"TACROLIMUS PARENTERAL 5 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALECTOMY ASTRAGALECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28130","description":"TALECTOMY ASTRAGALECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALECTOMY ASTRAGALECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28130","description":"TALECTOMY ASTRAGALECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11103","description":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11103","description":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11102","description":"TANGENTIAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11102","description":"TANGENTIAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64489","description":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64489","description":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64488","description":"TAP BLOCK BILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64488","description":"TAP BLOCK BILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64487","description":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64487","description":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64486","description":"TAP BLOCK UNILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64486","description":"TAP BLOCK UNILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33741","description":"TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33741","description":"TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11920","description":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11920","description":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11921","description":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11921","description":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11922","description":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11922","description":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAU PHOSPHORYLATED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84393","description":"TAU PHOSPHORYLATED EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAU PHOSPHORYLATED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84393","description":"TAU PHOSPHORYLATED EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86481","description":"TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86480","description":"TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37215","description":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37215","description":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37216","description":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37216","description":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61624","description":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61624","description":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61626","description":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61626","description":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61624","description":"TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61626","description":"TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92974","description":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92974","description":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33477","description":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1218.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33477","description":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1218.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37218","description":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37218","description":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37217","description":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37217","description":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":976.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93893","description":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93893","description":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90714","description":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90714","description":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDAP VACCINE 7 YRS OR GT  IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90715","description":"TDAP VACCINE 7 YRS OR GT  IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDAP VACCINE 7 YRS OR GT  IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90715","description":"TDAP VACCINE 7 YRS OR GT  IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25310","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25310","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25312","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25312","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35306","description":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35306","description":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35303","description":"TEAEC W/GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35303","description":"TEAEC W/GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1062.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35302","description":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35302","description":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35305","description":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35305","description":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35304","description":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35304","description":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1145.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35301","description":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35301","description":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1019.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35331","description":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35331","description":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35361","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35361","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35363","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1391.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1460.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35363","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1391.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1460.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35371","description":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35371","description":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35372","description":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35372","description":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35351","description":"TEAEC W/WO PATCH GRAFT ILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35351","description":"TEAEC W/WO PATCH GRAFT ILIAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1102.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35355","description":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35355","description":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35341","description":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1246.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35341","description":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1246.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35321","description":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35321","description":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35311","description":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1405.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35311","description":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1405.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99366","description":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99366","description":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99367","description":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99367","description":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9504","description":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9504","description":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9510","description":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9510","description":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.89,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.427,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9500","description":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9500","description":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.002,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.124,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0425","description":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0425","description":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0426","description":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0426","description":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0427","description":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0427","description":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH ORIGINATING SITE FACILITY FEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3014","description":"TELEHEALTH ORIGINATING SITE FACILITY FEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH ORIGINATING SITE FACILITY FEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3014","description":"TELEHEALTH ORIGINATING SITE FACILITY FEE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77307","description":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77307","description":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77306","description":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77306","description":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY CLOSURE EYELIDS SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67875","description":"TEMPORARY CLOSURE EYELIDS SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY CLOSURE EYELIDS SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67875","description":"TEMPORARY CLOSURE EYELIDS SUTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70332","description":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70332","description":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPRATURE GRADIENT STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93740","description":"TEMPRATURE GRADIENT STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPRATURE GRADIENT STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93740","description":"TEMPRATURE GRADIENT STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON GRAFT FROM A DISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20924","description":"TENDON GRAFT FROM A DISTANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON GRAFT FROM A DISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20924","description":"TENDON GRAFT FROM A DISTANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24305","description":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24305","description":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON SHEATH INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26055","description":"TENDON SHEATH INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON SHEATH INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26055","description":"TENDON SHEATH INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26483","description":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26483","description":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24340","description":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24340","description":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS DISTAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26474","description":"TENODESIS DISTAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS DISTAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26474","description":"TENODESIS DISTAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23430","description":"TENODESIS LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23430","description":"TENODESIS LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26471","description":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26471","description":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST EXTENSORS FINGERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25301","description":"TENODESIS WRIST EXTENSORS FINGERS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST EXTENSORS FINGERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25301","description":"TENODESIS WRIST EXTENSORS FINGERS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST FLEXORS FINGERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25300","description":"TENODESIS WRIST FLEXORS FINGERS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST FLEXORS FINGERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25300","description":"TENODESIS WRIST FLEXORS FINGERS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26449","description":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26449","description":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28226","description":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28226","description":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28225","description":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28225","description":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26445","description":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26445","description":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28222","description":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28222","description":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28220","description":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28220","description":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26442","description":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26442","description":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26440","description":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26440","description":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27680","description":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27680","description":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS TRICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24332","description":"TENOLYSIS TRICEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS TRICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24332","description":"TENOLYSIS TRICEPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOPLASTY ELBOW TO SHOULDER SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24320","description":"TENOPLASTY ELBOW TO SHOULDER SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOPLASTY ELBOW TO SHOULDER SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24320","description":"TENOPLASTY ELBOW TO SHOULDER SINGLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27006","description":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27006","description":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27001","description":"TENOTOMY ADDUCTOR HIP OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27001","description":"TENOTOMY ADDUCTOR HIP OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27000","description":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27000","description":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24357","description":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24357","description":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26460","description":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26460","description":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26455","description":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26455","description":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26450","description":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26450","description":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27005","description":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27005","description":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28240","description":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28240","description":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24310","description":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24310","description":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28234","description":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28234","description":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27392","description":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27392","description":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27390","description":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27390","description":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27391","description":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27391","description":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26060","description":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26060","description":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28011","description":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28011","description":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28010","description":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28010","description":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27606","description":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27606","description":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27605","description":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27605","description":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27306","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27306","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27307","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27307","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER AREA 1 TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23405","description":"TENOTOMY SHOULDER AREA 1 TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER AREA 1 TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23405","description":"TENOTOMY SHOULDER AREA 1 TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23406","description":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23406","description":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TERT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81345","description":"TERT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81345","description":"TERT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTICULAR IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78761","description":"TESTICULAR IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTICULAR IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78761","description":"TESTICULAR IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95923","description":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95923","description":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTOSTERONE PELLET IMPLANT 75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1073","description":"TESTOSTERONE PELLET IMPLANT 75 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTOSTERONE PELLET IMPLANT 75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1073","description":"TESTOSTERONE PELLET IMPLANT 75 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.385,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING AND EXPANSION FROZEN CELLS EACH ALIQUOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88241","description":"THAWING AND EXPANSION FROZEN CELLS EACH ALIQUOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93150","description":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93150","description":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36516","description":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36516","description":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96374","description":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96374","description":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97116","description":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97116","description":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN AQUA THER W/XERSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97113","description":"THER PX 1 OR GT  AREAS EACH 15 MIN AQUA THER W/XERSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97112","description":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97112","description":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97124","description":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97124","description":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77290","description":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77290","description":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77285","description":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77285","description":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77280","description":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77280","description":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97530","description":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97530","description":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLASMA PHERESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36514","description":"THERAPEUTIC APHERESIS PLASMA PHERESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLASMA PHERESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36514","description":"THERAPEUTIC APHERESIS PLASMA PHERESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLATELETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36513","description":"THERAPEUTIC APHERESIS PLATELETS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLATELETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36513","description":"THERAPEUTIC APHERESIS PLATELETS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS RED BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36512","description":"THERAPEUTIC APHERESIS RED BLOOD CELLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS RED BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36512","description":"THERAPEUTIC APHERESIS RED BLOOD CELLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36511","description":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36511","description":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74283","description":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74283","description":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97150","description":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97150","description":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96372","description":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96372","description":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96373","description":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96373","description":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97110","description":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97110","description":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RAD SIM-AIDED FLD STG; COMP PET-CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0562","description":"THERAPEUTIC RAD SIM-AIDED FLD STG; COMP PET-CT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RAD SIM-AIDED FLD STG; COMP PET-CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0562","description":"THERAPEUTIC RAD SIM-AIDED FLD STG; COMP PET-CT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGES(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGES(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77263","description":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77263","description":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77262","description":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77262","description":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77261","description":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77261","description":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62329","description":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62329","description":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62272","description":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62272","description":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERASKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4121","description":"THERASKIN PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERASKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4121","description":"THERASKIN PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64628","description":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64628","description":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64629","description":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64629","description":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32555","description":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32555","description":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32554","description":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32554","description":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64469","description":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64469","description":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64468","description":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64468","description":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64467","description":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64467","description":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64466","description":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64466","description":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32906","description":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1502.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32906","description":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1430.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1502.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32905","description":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1218.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32905","description":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1218.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32654","description":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32654","description":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1080.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32606","description":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32606","description":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32604","description":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32604","description":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32673","description":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1056.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32673","description":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1056.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32653","description":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32653","description":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/BILOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32670","description":"THORACOSCOPY W/BILOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1388.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/BILOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32670","description":"THORACOSCOPY W/BILOBECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1388.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32607","description":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32607","description":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32608","description":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32608","description":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32668","description":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32668","description":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32665","description":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32665","description":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32662","description":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32662","description":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32661","description":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32661","description":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32663","description":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32663","description":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32656","description":"THORACOSCOPY W/PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32656","description":"THORACOSCOPY W/PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32651","description":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32651","description":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32650","description":"THORACOSCOPY W/PLEURODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32650","description":"THORACOSCOPY W/PLEURODESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32671","description":"THORACOSCOPY W/PNEUMONECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1536.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32671","description":"THORACOSCOPY W/PNEUMONECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1536.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32655","description":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32655","description":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32672","description":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32672","description":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1317.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32658","description":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32658","description":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32669","description":"THORACOSCOPY W/SEGMENTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32669","description":"THORACOSCOPY W/SEGMENTECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32667","description":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32667","description":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32666","description":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32666","description":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32664","description":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32664","description":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32609","description":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32609","description":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32036","description":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32036","description":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY W/RIB RESECTION EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32035","description":"THORACOSTOMY W/RIB RESECTION EMPYEMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY W/RIB RESECTION EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32035","description":"THORACOSTOMY W/RIB RESECTION EMPYEMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32124","description":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32124","description":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32120","description":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32120","description":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/BIOPSY OF PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32098","description":"THORACOTOMY W/BIOPSY OF PLEURA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/BIOPSY OF PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32098","description":"THORACOTOMY W/BIOPSY OF PLEURA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/CARDIAC MASSAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32160","description":"THORACOTOMY W/CARDIAC MASSAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/CARDIAC MASSAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32160","description":"THORACOTOMY W/CARDIAC MASSAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32507","description":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32507","description":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/RESECTION BULLAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32141","description":"THORACOTOMY W/RESECTION BULLAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1386.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/RESECTION BULLAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32141","description":"THORACOTOMY W/RESECTION BULLAE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1386.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32506","description":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32506","description":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32505","description":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32505","description":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY WITH EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32100","description":"THORACOTOMY WITH EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY WITH EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32100","description":"THORACOTOMY WITH EXPLORATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32096","description":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32096","description":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32097","description":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32097","description":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32701","description":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32701","description":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32110","description":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1352.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32110","description":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1288.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1352.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38746","description":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38746","description":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/REMOVAL OF CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32140","description":"THORCOM W/REMOVAL OF CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/REMOVAL OF CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32140","description":"THORCOM W/REMOVAL OF CYST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32150","description":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32150","description":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL IPUL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32151","description":"THORCOM W/RMVL IPUL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL IPUL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32151","description":"THORCOM W/RMVL IPUL FB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32674","description":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32674","description":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32601","description":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32601","description":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35875","description":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35875","description":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35876","description":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35876","description":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34490","description":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34490","description":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34471","description":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34471","description":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34451","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1292.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34451","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1292.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34421","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34421","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34401","description":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1279.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34401","description":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1279.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36831","description":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36831","description":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBIN TIME PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85670","description":"THROMBIN TIME PLASMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBIN TIME TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85675","description":"THROMBIN TIME TITER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37213","description":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37213","description":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37211","description":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37211","description":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS CEREBRAL IV INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37195","description":"THROMBOLYSIS CEREBRAL IV INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS CEREBRAL IV INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37195","description":"THROMBOLYSIS CEREBRAL IV INFUSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37212","description":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37212","description":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOMODULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85337","description":"THROMBOMODULIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN INHIBITION TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85705","description":"THROMBOPLASTIN INHIBITION TISSUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85730","description":"THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85732","description":"THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOXANE METABOLITE W/WO THROMBOXANE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84431","description":"THROMBOXANE METABOLITE W/WO THROMBOXANE URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32659","description":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32659","description":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32652","description":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1444.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32652","description":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1444.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60522","description":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1249.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60522","description":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1249.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60520","description":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60520","description":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60521","description":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60521","description":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1032.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROGLOBULIN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86800","description":"THYROGLOBULIN ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78016","description":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78016","description":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG LMTD AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78015","description":"THYROID CARCINOMA METASTASES IMG LMTD AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG LMTD AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78015","description":"THYROID CARCINOMA METASTASES IMG LMTD AREA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78018","description":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78018","description":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES UPTAKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78020","description":"THYROID CARCINOMA METASTASES UPTAKE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES UPTAKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78020","description":"THYROID CARCINOMA METASTASES UPTAKE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID HORM UPTK/THYROID HORMONE BINDING RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84479","description":"THYROID HORM UPTK/THYROID HORMONE BINDING RATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78013","description":"THYROID IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78013","description":"THYROID IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID STIMULATING IMMUNE GLOBULINS TSI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84445","description":"THYROID STIMULATING IMMUNE GLOBULINS TSI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78012","description":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78012","description":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78014","description":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78014","description":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60270","description":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60270","description":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60260","description":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60260","description":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":961.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60271","description":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60271","description":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60240","description":"THYROIDECTOMY TOTAL/COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60240","description":"THYROIDECTOMY TOTAL/COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60252","description":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1223.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60252","description":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1223.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60254","description":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1470.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1544.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60254","description":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1470.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1544.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80438","description":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80439","description":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90626","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90626","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90627","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90627","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15155","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15155","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15156","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15156","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15157","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15157","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33745","description":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33745","description":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33746","description":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33746","description":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TISAGENLECLEUCEL TO 600 M CAR-POS VI T CE PER TD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2042","description":"TISAGENLECLEUCEL TO 600 M CAR-POS VI T CE PER TD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622186.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636157.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISAGENLECLEUCEL TO 600 M CAR-POS VI T CE PER TD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2042","description":"TISAGENLECLEUCEL TO 600 M CAR-POS VI T CE PER TD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622186.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636157.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15152","description":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15152","description":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15150","description":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15150","description":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15151","description":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15151","description":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88237","description":"TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NEO DISORDERS SOLID TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88239","description":"TISS CUL NEO DISORDERS SOLID TUMOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88235","description":"TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS LYMPHOCYTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88230","description":"TISS CUL NON-NEO DISORDERS LYMPHOCYTE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88233","description":"TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87220","description":"TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19357","description":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1026.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19357","description":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1026.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86364","description":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86364","description":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69637","description":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1300.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1309.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69637","description":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1300.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1309.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69644","description":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1331.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1406.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69644","description":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1331.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1406.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69643","description":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69643","description":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69641","description":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69641","description":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69642","description":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69642","description":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1235.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27681","description":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27681","description":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25295","description":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25295","description":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27003","description":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27003","description":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24358","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24358","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24359","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24359","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25290","description":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25290","description":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99407","description":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99407","description":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99406","description":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99406","description":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7682","description":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7682","description":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONE DECAY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92563","description":"TONE DECAY TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONE DECAY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92563","description":"TONE DECAY TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42820","description":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42820","description":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42821","description":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42821","description":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42825","description":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42825","description":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42826","description":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42826","description":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58200","description":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58200","description":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1127.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1184.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1257.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58152","description":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58152","description":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22858","description":"TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22856","description":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1451.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1524.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43107","description":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2592.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2722.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43107","description":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2592.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2722.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43108","description":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3844.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4036.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43108","description":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3844.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4036.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43113","description":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3762.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3950.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43113","description":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3762.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3950.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43124","description":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3301.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3466.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43124","description":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3301.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3466.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58150","description":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58150","description":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22858","description":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22858","description":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22856","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1451.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1524.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22856","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1434.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1451.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1524.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43112","description":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3003.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3154.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43112","description":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3003.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3154.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69955","description":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1731.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1737.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1817.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1824.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69955","description":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1731.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1737.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1817.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1824.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL LUNG LAVAGE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32997","description":"TOTAL LUNG LAVAGE UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL LUNG LAVAGE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32997","description":"TOTAL LUNG LAVAGE UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL REPAIR TRUNCUS ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33786","description":"TOTAL REPAIR TRUNCUS ARTERIOSUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1962.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2060.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL REPAIR TRUNCUS ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33786","description":"TOTAL REPAIR TRUNCUS ARTERIOSUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1962.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2060.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL TAU (TTAU)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84394","description":"TOTAL TAU (TTAU)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL TAU (TTAU)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84394","description":"TOTAL TAU (TTAU)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60225","description":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60225","description":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60220","description":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60220","description":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOXIN/ANTITOXIN ASSAY TISSUE CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87230","description":"TOXIN/ANTITOXIN ASSAY TISSUE CULTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81351","description":"TP53 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81351","description":"TP53 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81353","description":"TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81353","description":"TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81352","description":"TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81352","description":"TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR FNGR AXH POS W/O MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26555","description":"TR FNGR AXH POS W/O MVASC ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1230.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1292.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1294.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR FNGR AXH POS W/O MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26555","description":"TR FNGR AXH POS W/O MVASC ANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1230.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1292.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1294.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27105","description":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27105","description":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26498","description":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26498","description":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26497","description":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26497","description":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26551","description":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2899.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2915.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3044.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3060.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26551","description":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2899.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2915.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3044.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3060.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26553","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2880.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2895.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3024.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3040.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26553","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2880.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2895.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3024.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3040.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26554","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3351.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3370.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3518.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3539.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26554","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3351.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3370.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3518.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3539.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27100","description":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27100","description":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27691","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27691","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27692","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27692","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27690","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27690","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26480","description":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26480","description":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOPLASTY BY LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65855","description":"TRABECULOPLASTY BY LASER SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOPLASTY BY LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65855","description":"TRABECULOPLASTY BY LASER SURGERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOTOMY AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65850","description":"TRABECULOTOMY AB EXTERNO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOTOMY AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65850","description":"TRABECULOTOMY AB EXTERNO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31612","description":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31612","description":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31612","description":"TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57530","description":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57530","description":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57720","description":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57720","description":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8509","description":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8509","description":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8507","description":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8507","description":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRNCHSC THRU EST TRACHS INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31615","description":"TRACHEOBRNCHSC THRU EST TRACHS INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31615","description":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31615","description":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31750","description":"TRACHEOPLASTY CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1193.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31750","description":"TRACHEOPLASTY CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1193.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31760","description":"TRACHEOPLASTY INTRATHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31760","description":"TRACHEOPLASTY INTRATHORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1529.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1606.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1529.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1606.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1529.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1606.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31614","description":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31614","description":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31613","description":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31613","description":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31605","description":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31605","description":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31603","description":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31603","description":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31610","description":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31610","description":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31600","description":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31600","description":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31601","description":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31601","description":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31502","description":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31502","description":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59070","description":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59070","description":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37200","description":"TRANSCATHETER BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75970","description":"TRANSCATHETER BIOPSY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75970","description":"TRANSCATHETER BIOPSY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34712","description":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34712","description":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75894","description":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75894","description":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33370","description":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33370","description":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33366","description":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1417.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33366","description":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1417.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61596","description":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2149.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2256.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61596","description":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2149.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2256.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93893","description":"TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93892","description":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93892","description":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93886","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93886","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93888","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93888","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47460","description":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1120.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1176.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47460","description":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1120.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1176.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33922","description":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33922","description":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1262.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64742","description":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64742","description":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64744","description":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64744","description":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64738","description":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64738","description":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INFRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64734","description":"TRANSECTION/AVULSION INFRAORBITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INFRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64734","description":"TRANSECTION/AVULSION INFRAORBITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION LINGUAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64740","description":"TRANSECTION/AVULSION LINGUAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION LINGUAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64740","description":"TRANSECTION/AVULSION LINGUAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION MENTAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64736","description":"TRANSECTION/AVULSION MENTAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION MENTAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64736","description":"TRANSECTION/AVULSION MENTAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64771","description":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64771","description":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64772","description":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64772","description":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION PHRENIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64746","description":"TRANSECTION/AVULSION PHRENIC NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION PHRENIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64746","description":"TRANSECTION/AVULSION PHRENIC NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64732","description":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64732","description":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64760","description":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64760","description":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64755","description":"TRANSECTION/AVULSION VAGUS NERVES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64755","description":"TRANSECTION/AVULSION VAGUS NERVES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ADDUCTOR ISCHIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27098","description":"TRANSFER ADDUCTOR ISCHIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ADDUCTOR ISCHIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27098","description":"TRANSFER ADDUCTOR ISCHIUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15650","description":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15650","description":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26556","description":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2995.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3012.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3145.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3163.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26556","description":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2995.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3012.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3145.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3163.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS FEMORAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27111","description":"TRANSFER ILIOPSOAS FEMORAL NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS FEMORAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27111","description":"TRANSFER ILIOPSOAS FEMORAL NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27110","description":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27110","description":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27400","description":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27400","description":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26489","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26489","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26485","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26485","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFERASE ALANINE AMINO ALT SGPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84460","description":"TRANSFERASE ALANINE AMINO ALT SGPT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFERASE ASPARTATE AMINO AST SGOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84450","description":"TRANSFERASE ASPARTATE AMINO AST SGOT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION BLOOD/BLOOD COMPONENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36430","description":"TRANSFUSION BLOOD/BLOOD COMPONENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION BLOOD/BLOOD COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36430","description":"TRANSFUSION BLOOD/BLOOD COMPONENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION INTRAUTERINE FETAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36460","description":"TRANSFUSION INTRAUTERINE FETAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION INTRAUTERINE FETAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36460","description":"TRANSFUSION INTRAUTERINE FETAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMASTOID ANTROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69501","description":"TRANSMASTOID ANTROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMASTOID ANTROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69501","description":"TRANSMASTOID ANTROTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25927","description":"TRANSMETACARPAL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25927","description":"TRANSMETACARPAL AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25931","description":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25931","description":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25929","description":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25929","description":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8629","description":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8629","description":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8617","description":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8617","description":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33140","description":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1340.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1407.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33140","description":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1340.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1407.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33141","description":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33141","description":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63057","description":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63057","description":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63056","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63056","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63055","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1451.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1524.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63055","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1451.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1524.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55874","description":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2404.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2525.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2559.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2687.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55874","description":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2404.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2525.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2559.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2687.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55875","description":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55875","description":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27396","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27396","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27397","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27397","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION OF MULTIVISCERAL ORGANS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2054","description":"TRANSPLANTATION OF MULTIVISCERAL ORGANS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1359.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8497.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION OF MULTIVISCERAL ORGANS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2054","description":"TRANSPLANTATION OF MULTIVISCERAL ORGANS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1359.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8497.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48554","description":"TRANSPLANTATION PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2326.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2442.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48554","description":"TRANSPLANTATION PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2326.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2442.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION SMALL INTESTINE AND LIVER ALLOGRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2053","description":"TRANSPLANTATION SMALL INTESTINE AND LIVER ALLOGRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5976.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6275.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION SMALL INTESTINE AND LIVER ALLOGRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2053","description":"TRANSPLANTATION SMALL INTESTINE AND LIVER ALLOGRAFTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5976.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6275.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION TESTIS TO THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54680","description":"TRANSPLANTATION TESTIS TO THIGH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION TESTIS TO THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54680","description":"TRANSPLANTATION TESTIS TO THIGH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58825","description":"TRANSPOSITION OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58825","description":"TRANSPOSITION OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67320","description":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67320","description":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61598","description":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2545.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2672.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61598","description":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2545.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2672.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45000","description":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45000","description":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93293","description":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93293","description":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61595","description":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2121.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2227.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61595","description":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2121.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2227.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33621","description":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33621","description":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50770","description":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50770","description":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL INCISION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52450","description":"TRANSURETHRAL INCISION PROSTATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL INCISION PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52450","description":"TRANSURETHRAL INCISION PROSTATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL RESECTION BLADDER NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52500","description":"TRANSURETHRAL RESECTION BLADDER NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL RESECTION BLADDER NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52500","description":"TRANSURETHRAL RESECTION BLADDER NECK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVESICAL URETROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51060","description":"TRANSVESICAL URETROLITHOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVESICAL URETROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51060","description":"TRANSVESICAL URETROLITHOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33871","description":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2799.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2939.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33871","description":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2799.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2939.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81340","description":"TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81341","description":"TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24605","description":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24605","description":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24600","description":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24600","description":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67228","description":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67228","description":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7686","description":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7686","description":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRG@ GENE REARRANGEMENT ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81342","description":"TRG@ GENE REARRANGEMENT ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33468","description":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2112.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2217.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33468","description":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2112.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2217.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2320","description":"TRIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2320","description":"TRIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL SEG WIDTH OVER 28 MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2319","description":"TRIFOCAL SEG WIDTH OVER 28 MM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL SEG WIDTH OVER 28 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2319","description":"TRIFOCAL SEG WIDTH OVER 28 MM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2307","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2307","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2308","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2308","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2309","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2309","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2310","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2310","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2311","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2311","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2312","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2312","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2303","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2303","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2304","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2304","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2305","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2305","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2306","description":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2306","description":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2313","description":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2313","description":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2314","description":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2314","description":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIIODOTHYRONINE T3 REVERSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84482","description":"TRIIODOTHYRONINE T3 REVERSE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11719","description":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11719","description":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0127","description":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0127","description":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37246","description":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1554.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1609.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37246","description":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1554.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1609.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1689.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I EA ADDL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37247","description":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I EA ADDL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I EA ADDL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37247","description":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I EA ADDL ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37248","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1261.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37248","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1160.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1201.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1261.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37249","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37249","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36907","description":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36907","description":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCATH OCCL/EMBOLIZ TUMR DESTRUC PERQ METH USI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2095","description":"TRNSCATH OCCL/EMBOLIZ TUMR DESTRUC PERQ METH USI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1464.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCATH OCCL/EMBOLIZ TUMR DESTRUC PERQ METH USI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2095","description":"TRNSCATH OCCL/EMBOLIZ TUMR DESTRUC PERQ METH USI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1464.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61597","description":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2643.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2775.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61597","description":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2643.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2775.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSMT CBL USE CI DEVC/AUD OSSEOINTG DEVC REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8618","description":"TRNSMT CBL USE CI DEVC/AUD OSSEOINTG DEVC REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSMT CBL USE CI DEVC/AUD OSSEOINTG DEVC REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8618","description":"TRNSMT CBL USE CI DEVC/AUD OSSEOINTG DEVC REPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38240","description":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38240","description":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38241","description":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38241","description":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ HEMATOPOIETIC CELL BOOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38243","description":"TRNSPLJ HEMATOPOIETIC CELL BOOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ HEMATOPOIETIC CELL BOOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38243","description":"TRNSPLJ HEMATOPOIETIC CELL BOOST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61575","description":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2238.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2350.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61575","description":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2238.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2350.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61576","description":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3720.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3906.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61576","description":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3720.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3906.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64766","description":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64766","description":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64763","description":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64763","description":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61611","description":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61611","description":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35695","description":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35695","description":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35694","description":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35694","description":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35691","description":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35691","description":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35693","description":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35693","description":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DRAINAGE PROSTATIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52700","description":"TRURL DRAINAGE PROSTATIC ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DRAINAGE PROSTATIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52700","description":"TRURL DRAINAGE PROSTATIC ABSCESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53854","description":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1478.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53854","description":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1478.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53850","description":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53850","description":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53852","description":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53852","description":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1222.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52601","description":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52601","description":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52640","description":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52640","description":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52630","description":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52630","description":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52597","description":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52597","description":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84490","description":"TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95921","description":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95921","description":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95924","description":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95924","description":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95922","description":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95922","description":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31730","description":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31730","description":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBE THORACOSTOMY INCLUDES WATER SEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32551","description":"TUBE THORACOSTOMY INCLUDES WATER SEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBE THORACOSTOMY INCLUDES WATER SEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32551","description":"TUBE THORACOSTOMY INCLUDES WATER SEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44015","description":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44015","description":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61108","description":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61108","description":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61107","description":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61107","description":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61105","description":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61105","description":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61850","description":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61850","description":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27003","description":"TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46280","description":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46280","description":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77334","description":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77334","description":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77333","description":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77333","description":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77332","description":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77332","description":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59130","description":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59130","description":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":754.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59120","description":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59120","description":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59140","description":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59140","description":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59136","description":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59136","description":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59121","description":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59121","description":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24516","description":"TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24516","description":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24516","description":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59812","description":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59812","description":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27245","description":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1095.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27245","description":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1095.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27244","description":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27244","description":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59820","description":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59820","description":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59821","description":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59821","description":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28232","description":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28232","description":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28230","description":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28230","description":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SEPTIC ABORTION SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59830","description":"TX SEPTIC ABORTION SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SEPTIC ABORTION SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59830","description":"TX SEPTIC ABORTION SURGICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27176","description":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27176","description":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27175","description":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27175","description":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ  and /AUDITORY PROC IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ  and /AUDITORY PROC IND","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92508","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92508","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2 OR GT INDIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92508","description":"TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2 OR GT INDIV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27257","description":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27257","description":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27256","description":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27256","description":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12020","description":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12020","description":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12021","description":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12021","description":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92526","description":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92526","description":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/O MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27759","description":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27759","description":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69610","description":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69610","description":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69676","description":"TYMPANIC NEURECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69676","description":"TYMPANIC NEURECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":741.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOLYSIS TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69450","description":"TYMPANOLYSIS TRANSCANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOLYSIS TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69450","description":"TYMPANOLYSIS TRANSCANAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92567","description":"TYMPANOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92550","description":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69645","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69645","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69646","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1382.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1452.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69646","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1382.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1452.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69633","description":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69633","description":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69631","description":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69631","description":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69436","description":"TYMPANOSTOMY GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69436","description":"TYMPANOSTOMY GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69433","description":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69433","description":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69632","description":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69632","description":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69635","description":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69635","description":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69636","description":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1243.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69636","description":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1243.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.504,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.504,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.691,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Thrombomodulin","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85337","description":"Thrombomodulin","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Thyroglobulin antibody","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86800","description":"Thyroglobulin antibody","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter biopsy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37200","description":"Transcatheter biopsy","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter biopsy","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37200","description":"Transcatheter biopsy","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"Tympanometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92567","description":"Tympanometry","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tympanometry","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92567","description":"Tympanometry","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"U-V LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2755","description":"U-V LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"U-V LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2755","description":"U-V LENS PER LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UGT1A1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81350","description":"UGT1A1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC GUIDANCE INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76998","description":"ULTRASONIC GUIDANCE INTRAOPERATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC GUIDANCE INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76998","description":"ULTRASONIC GUIDANCE INTRAOPERATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76983","description":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76983","description":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76982","description":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76982","description":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76981","description":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76981","description":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76800","description":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76800","description":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76978","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76978","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76979","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76979","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49250","description":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49250","description":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED DRUGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3490","description":"UNCLASSIFIED DRUGS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED DRUGS OR BIOLOGICALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9399","description":"UNCLASSIFIED DRUGS OR BIOLOGICALS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78199","description":"UNLIS HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77399","description":"UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTD PX MED RADJ PHYSIC DOSIM and TX DEV and SPEC SVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77399","description":"UNLISTD PX MED RADJ PHYSIC DOSIM and TX DEV and SPEC SVC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTD PX MED RADJ PHYSIC DOSIM and TX DEV and SPEC SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77399","description":"UNLISTD PX MED RADJ PHYSIC DOSIM and TX DEV and SPEC SVC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ANESTHESIA PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01999","description":"UNLISTED ANESTHESIA PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ANESTHESIA PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01999","description":"UNLISTED ANESTHESIA PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76497","description":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76497","description":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78299","description":"UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78299","description":"UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78799","description":"UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78799","description":"UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78199","description":"UNLISTED HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78199","description":"UNLISTED HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78399","description":"UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78399","description":"UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78699","description":"UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78699","description":"UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97799","description":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PROC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97799","description":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97799","description":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78599","description":"UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78599","description":"UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNS ORAL DOSAGE ANTI-EMETIC NOT  GT 48 HR DOSE REG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0181","description":"UNS ORAL DOSAGE ANTI-EMETIC NOT  GT 48 HR DOSE REG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","31","32","33","34","49","51","52","53","54","55","56","57","60","61","62","65","71","99"]}]}]},{"negotiation_arrangement":"ffs","name":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33214","description":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33214","description":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78267","description":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78267","description":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78268","description":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78268","description":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA NITROGEN CLEARANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84545","description":"UREA NITROGEN CLEARANCE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50705","description":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50705","description":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50976","description":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50976","description":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50961","description":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50961","description":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50953","description":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50953","description":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50951","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50951","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50955","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50955","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50974","description":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50974","description":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50970","description":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50970","description":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50957","description":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50957","description":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78740","description":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78740","description":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50660","description":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50660","description":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50750","description":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50750","description":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50815","description":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1112.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50815","description":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1112.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROENTEROSTOMY ANAST URETER INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50800","description":"URETEROENTEROSTOMY ANAST URETER INTESTINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROENTEROSTOMY ANAST URETER INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50800","description":"URETEROENTEROSTOMY ANAST URETER INTESTINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50820","description":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1193.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50820","description":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1193.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50722","description":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50722","description":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50715","description":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50715","description":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50780","description":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50780","description":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50782","description":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50782","description":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50783","description":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50783","description":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPLASTY PLASTIC OPERATION URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50700","description":"URETEROPLASTY PLASTIC OPERATION URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPLASTY PLASTIC OPERATION URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50700","description":"URETEROPLASTY PLASTIC OPERATION URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50740","description":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50740","description":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50900","description":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50900","description":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":767.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50810","description":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50810","description":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSTOMY TRANSPLANTATION URETER SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50860","description":"URETEROSTOMY TRANSPLANTATION URETER SKIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSTOMY TRANSPLANTATION URETER SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50860","description":"URETEROSTOMY TRANSPLANTATION URETER SKIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50605","description":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50605","description":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":925.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROURETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50760","description":"URETEROURETEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETEROURETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50760","description":"URETEROURETEROSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1034.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53210","description":"URETHRECTOMY TOT W/CYSTOST FEMALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53210","description":"URETHRECTOMY TOT W/CYSTOST FEMALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53215","description":"URETHRECTOMY TOT W/CYSTOST MALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53215","description":"URETHRECTOMY TOT W/CYSTOST MALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74450","description":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74450","description":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY VOIDING RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74455","description":"URETHROCYSTOGRAPHY VOIDING RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY VOIDING RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74455","description":"URETHROCYSTOGRAPHY VOIDING RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROLSS TRVG SEC OPN W/CSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53500","description":"URETHROLSS TRVG SEC OPN W/CSTO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROLSS TRVG SEC OPN W/CSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53500","description":"URETHROLSS TRVG SEC OPN W/CSTO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53450","description":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53450","description":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53460","description":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53460","description":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53410","description":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53410","description":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53400","description":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53400","description":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  GT  3 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54312","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  GT  3 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  GT  3 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54312","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  GT  3 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  LT 3 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54308","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  LT 3 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  LT 3 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54308","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  LT 3 CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54316","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54316","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53405","description":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53405","description":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54318","description":"URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54318","description":"URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY RCNSTJ FEMALE URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53430","description":"URETHROPLASTY RCNSTJ FEMALE URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY RCNSTJ FEMALE URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53430","description":"URETHROPLASTY RCNSTJ FEMALE URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53502","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53502","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53505","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53505","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53510","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53510","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53010","description":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53010","description":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50650","description":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50650","description":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":942.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS 2/3 GLASS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81020","description":"URINALYSIS 2/3 GLASS TEST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81007","description":"URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS MICROSCOPIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81015","description":"URINALYSIS MICROSCOPIC ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81005","description":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81005","description":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY BLADDER RESIDUAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78730","description":"URINARY BLADDER RESIDUAL STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY BLADDER RESIDUAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78730","description":"URINARY BLADDER RESIDUAL STUDY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY UNIDIVERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50830","description":"URINARY UNIDIVERSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1554.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1631.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URINARY UNIDIVERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50830","description":"URINARY UNIDIVERSION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1554.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1631.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82043","description":"URINE ALBUMIN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82043","description":"URINE ALBUMIN QUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82044","description":"URINE ALBUMIN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82044","description":"URINE ALBUMIN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81025","description":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81025","description":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81000","description":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81000","description":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81001","description":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81001","description":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81003","description":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81003","description":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81002","description":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81002","description":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84580","description":"UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY ANTEGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74425","description":"UROGRAPHY ANTEGRADE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74410","description":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74410","description":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74400","description":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74400","description":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74415","description":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74415","description":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY RETROGRADE WITH/WO KUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74420","description":"UROGRAPHY RETROGRADE WITH/WO KUB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY RETROGRADE WITH/WO KUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74420","description":"UROGRAPHY RETROGRADE WITH/WO KUB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPY INFUSION DRIP  and /BOLUS TECHQ W/WO TOMO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74415","description":"UROGRAPY INFUSION DRIP  and /BOLUS TECHQ W/WO TOMO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53515","description":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53515","description":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":689.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53420","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53420","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53425","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53425","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53415","description":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53415","description":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53431","description":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53431","description":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY LOWER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50630","description":"URTROLITHOTOMY LOWER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY LOWER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50630","description":"URTROLITHOTOMY LOWER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50620","description":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50620","description":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY UPPER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50610","description":"URTROLITHOTOMY UPPER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY UPPER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50610","description":"URTROLITHOTOMY UPPER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":817.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLSS RETROCAVAL URTR W/REANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50725","description":"URTROLSS RETROCAVAL URTR W/REANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROLSS RETROCAVAL URTR W/REANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50725","description":"URTROLSS RETROCAVAL URTR W/REANAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50785","description":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50785","description":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1051.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50600","description":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50600","description":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53000","description":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53000","description":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76940","description":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76940","description":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76706","description":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76706","description":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76700","description":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76700","description":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76705","description":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76705","description":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76977","description":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76977","description":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76641","description":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76641","description":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76642","description":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76642","description":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76604","description":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76604","description":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76936","description":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76936","description":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76881","description":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76881","description":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ENDOMYOCARDIAL BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76932","description":"US ENDOMYOCARDIAL BIOPSY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ENDOMYOCARDIAL BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76932","description":"US ENDOMYOCARDIAL BIOPSY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76813","description":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76813","description":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76814","description":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76814","description":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE AMNIOCENTESIS IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76946","description":"US GUIDANCE AMNIOCENTESIS IMG S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE AMNIOCENTESIS IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76946","description":"US GUIDANCE AMNIOCENTESIS IMG S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76945","description":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76945","description":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76965","description":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76965","description":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76942","description":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76942","description":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76885","description":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76885","description":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76886","description":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76886","description":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76941","description":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76941","description":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76882","description":"US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76882","description":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76882","description":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76883","description":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76883","description":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76857","description":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76857","description":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76856","description":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76856","description":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76810","description":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76810","description":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76802","description":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76802","description":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76805","description":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76805","description":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76812","description":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76812","description":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76816","description":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76816","description":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76817","description":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76817","description":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76811","description":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76811","description":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76801","description":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76801","description":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76815","description":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76815","description":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76770","description":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76770","description":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76775","description":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76775","description":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SCROTUM  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76870","description":"US SCROTUM  AND  CONTENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SCROTUM  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76870","description":"US SCROTUM  AND  CONTENTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76536","description":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76536","description":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76873","description":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76873","description":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRECTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76872","description":"US TRANSRECTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRECTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76872","description":"US TRANSRECTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSVAGINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76830","description":"US TRANSVAGINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSVAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76830","description":"US TRANSVAGINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76776","description":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76776","description":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76937","description":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76937","description":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93352","description":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93352","description":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OPHTHALMIC ENDOSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66990","description":"USE OPHTHALMIC ENDOSCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OPHTHALMIC ENDOSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66990","description":"USE OPHTHALMIC ENDOSCOPE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE VERTICAL ELECTRODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92547","description":"USE VERTICAL ELECTRODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE VERTICAL ELECTRODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92547","description":"USE VERTICAL ELECTRODES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3358","description":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3358","description":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3357","description":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3357","description":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59870","description":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59870","description":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58410","description":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58410","description":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58400","description":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58400","description":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"UVULECTOMY EXCISION UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42140","description":"UVULECTOMY EXCISION UVULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UVULECTOMY EXCISION UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42140","description":"UVULECTOMY EXCISION UVULA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.597,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.511,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58291","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58291","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1079.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1097.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1152.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58292","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58292","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1156.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58267","description":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58267","description":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58263","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58263","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58262","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58262","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58280","description":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58280","description":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59614","description":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59614","description":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59612","description":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59612","description":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59409","description":"VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59409","description":"VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59410","description":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59410","description":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58294","description":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58294","description":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58270","description":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58270","description":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58285","description":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1261.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1325.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58285","description":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1261.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1325.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58290","description":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58290","description":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58260","description":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58260","description":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58275","description":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58275","description":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPL RMVL VAG WALL  AND  PARAVAG TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57111","description":"VAGINECTOMY COMPL RMVL VAG WALL  AND  PARAVAG TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57110","description":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57110","description":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57106","description":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57106","description":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY PRTL RMVL VAG WALL  AND  PARAVAGINAL T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57107","description":"VAGINECTOMY PRTL RMVL VAG WALL  AND  PARAVAGINAL T","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1207.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1267.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINOPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57335","description":"VAGINOPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1091.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINOPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57335","description":"VAGINOPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1091.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57111","description":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57111","description":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1395.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57109","description":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1453.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57109","description":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1453.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57109","description":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1453.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1537.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57107","description":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1207.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1267.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57107","description":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1207.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1267.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1291.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1355.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43635","description":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43635","description":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33460","description":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2061.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2164.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33460","description":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2061.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2164.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33420","description":"VALVOTOMY MITRAL VALVE CLOSED HEART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33420","description":"VALVOTOMY MITRAL VALVE CLOSED HEART","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33422","description":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1433.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33422","description":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1433.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33474","description":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1880.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1975.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33474","description":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1880.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1975.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33391","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2065.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33391","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2065.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33390","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1660.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1743.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33390","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1660.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1743.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34501","description":"VALVULOPLASTY FEMORAL VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34501","description":"VALVULOPLASTY FEMORAL VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33425","description":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2350.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2468.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33425","description":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2350.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2468.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33463","description":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2642.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2774.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33463","description":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2642.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2774.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33464","description":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2098.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33464","description":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2098.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2430","description":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2430","description":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2410","description":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2410","description":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.462,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2148.74,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2148.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37242","description":"VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6322.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6638.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37242","description":"VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6322.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6638.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37244","description":"VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5858.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6151.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37244","description":"VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5858.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6151.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37241","description":"VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4140.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4347.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37241","description":"VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4140.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4347.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37243","description":"VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7678.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8062.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37243","description":"VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7678.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8062.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55250","description":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55250","description":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74440","description":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74440","description":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93896","description":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93896","description":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63103","description":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63103","description":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63307","description":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2151.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2259.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63307","description":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2151.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2259.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63303","description":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2070.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2174.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63303","description":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2070.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2174.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63302","description":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1952.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2050.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63302","description":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1952.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2050.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63300","description":"VCRPEC LES 1 SGM XDRL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1615.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1696.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63300","description":"VCRPEC LES 1 SGM XDRL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1615.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1696.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63301","description":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1976.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2075.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63301","description":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1976.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2075.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63087","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2149.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2257.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63087","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2149.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2257.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63088","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63088","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63090","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1724.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1811.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63090","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1724.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1811.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63091","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63091","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HOURS UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95711","description":"VEEG BY TECH 2-12 HOURS UNMONITORED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HOURS UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95711","description":"VEEG BY TECH 2-12 HOURS UNMONITORED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95713","description":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95713","description":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95712","description":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95712","description":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95716","description":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1311.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1357.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1425.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95716","description":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1311.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1357.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1425.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95715","description":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1085.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95715","description":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1085.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1140.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":998.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95714","description":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95714","description":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36500","description":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36500","description":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93898","description":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93898","description":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36425","description":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36425","description":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN UNDER AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36420","description":"VENIPUNCTURE CUTDOWN UNDER AGE 1 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36420","description":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36420","description":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75840","description":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75840","description":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75825","description":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75825","description":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75827","description":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75827","description":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EPIDURAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75872","description":"VENOGRAPHY EPIDURAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EPIDURAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75872","description":"VENOGRAPHY EPIDURAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75822","description":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75822","description":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75820","description":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75820","description":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ORBITAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75880","description":"VENOGRAPHY ORBITAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ORBITAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75880","description":"VENOGRAPHY ORBITAL RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75833","description":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75833","description":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75831","description":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75831","description":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75870","description":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75870","description":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75860","description":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75860","description":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37160","description":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1933.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2030.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37160","description":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1933.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2030.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37140","description":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2029.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2130.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37140","description":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2029.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2130.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37145","description":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1883.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1977.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37145","description":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1883.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1977.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37181","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2029.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2130.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37181","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2029.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2130.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37180","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1858.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1951.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37180","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1858.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1951.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75893","description":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75893","description":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78458","description":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78458","description":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78457","description":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78457","description":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34510","description":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34510","description":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69424","description":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69424","description":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94002","description":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94002","description":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94003","description":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94003","description":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61026","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61026","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61020","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61020","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62180","description":"VENTRICULOCISTERNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1507.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62180","description":"VENTRICULOCISTERNOSTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1507.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62200","description":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1298.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62200","description":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1298.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62201","description":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62201","description":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1093.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOMYOTOMY-MYECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33416","description":"VENTRICULOMYOTOMY-MYECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1832.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOMYOTOMY-MYECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33416","description":"VENTRICULOMYOTOMY-MYECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1832.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40500","description":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40500","description":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63102","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2033.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2135.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63102","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2033.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2135.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63101","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2073.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2176.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63101","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2073.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2176.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63081","description":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1648.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63081","description":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1648.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63082","description":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63082","description":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63085","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1728.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1815.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63085","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1728.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1815.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63086","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63086","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63308","description":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63308","description":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63304","description":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2102.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2208.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63304","description":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2102.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2208.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63305","description":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2236.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2348.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63305","description":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2236.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2348.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77086","description":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77086","description":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63306","description":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2197.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2307.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63306","description":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2197.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2307.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22512","description":"VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22512","description":"VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERY LONG CHAIN FATTY ACIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82726","description":"VERY LONG CHAIN FATTY ACIDS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESICULECTOMY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55650","description":"VESICULECTOMY ANY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESICULECTOMY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55650","description":"VESICULECTOMY ANY APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESICULOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55600","description":"VESICULOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESICULOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55600","description":"VESICULOTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESICULOTOMY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55605","description":"VESICULOTOMY COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESICULOTOMY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55605","description":"VESICULOTOMY COMPLICATED","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69950","description":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1539.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1616.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69950","description":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1539.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1616.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69915","description":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1324.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1390.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69915","description":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1324.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1390.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40840","description":"VESTIBULOPLASTY ANTERIOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40840","description":"VESTIBULOPLASTY ANTERIOR","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40845","description":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1309.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40845","description":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1309.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ENTIRE ARCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40844","description":"VESTIBULOPLASTY ENTIRE ARCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1332.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ENTIRE ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40844","description":"VESTIBULOPLASTY ENTIRE ARCH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1092.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1332.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40843","description":"VESTIBULOPLASTY POSTERIOR BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40843","description":"VESTIBULOPLASTY POSTERIOR BILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1061.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40842","description":"VESTIBULOPLASTY POSTERIOR UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40842","description":"VESTIBULOPLASTY POSTERIOR UNILATERAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43641","description":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43641","description":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1118.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43640","description":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43640","description":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VINCRISTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9370","description":"VINCRISTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VINCRISTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9370","description":"VINCRISTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87254","description":"VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87255","description":"VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS INOCULATION EGGS/SM ANIMAL OBS and DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87250","description":"VIRUS INOCULATION EGGS/SM ANIMAL OBS and DSJ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87252","description":"VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87253","description":"VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34845","description":"VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1810.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34845","description":"VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1810.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34846","description":"VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2005.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2106.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34846","description":"VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2005.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2106.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34847","description":"VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2201.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2311.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34847","description":"VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2201.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2311.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 4 PLUS  PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34848","description":"VISCER AND INFRARENAL ABDOM AORTA 4 PLUS  PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2397.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2517.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 4 PLUS  PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34848","description":"VISCER AND INFRARENAL ABDOM AORTA 4 PLUS  PROSTHESIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2397.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2517.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VISCOSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85810","description":"VISCOSITY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.78,"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":[216969],"negotiated_prices":[{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95930","description":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95930","description":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92083","description":"VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92082","description":"VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92081","description":"VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL REINFORCEMENT AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92579","description":"VISUAL REINFORCEMENT AUDIOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL REINFORCEMENT AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92579","description":"VISUAL REINFORCEMENT AUDIOMETRY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94150","description":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94150","description":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67039","description":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67039","description":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1075.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1129.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MECHANICAL PARS PLANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67036","description":"VITRECTOMY MECHANICAL PARS PLANA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MECHANICAL PARS PLANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67036","description":"VITRECTOMY MECHANICAL PARS PLANA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67042","description":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1300.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67042","description":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1300.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67041","description":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67041","description":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67043","description":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67043","description":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VKORC1 GENE ANALYSIS COMMON VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81355","description":"VKORC1 GENE ANALYSIS COMMON VARIANT(S)","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56640","description":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1424.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56640","description":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1424.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33427","description":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2098.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33427","description":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2098.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33426","description":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2052.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2154.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33426","description":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2052.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2154.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36400","description":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36400","description":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36400","description":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36406","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36406","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36405","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36405","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36410","description":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36410","description":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36410","description":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VOICE AMPLIFIER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8510","description":"VOICE AMPLIFIER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOICE AMPLIFIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8510","description":"VOICE AMPLIFIER","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOID PRESSURE STUDIES INTRAABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51797","description":"VOID PRESSURE STUDIES INTRAABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOID PRESSURE STUDIES INTRAABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51797","description":"VOID PRESSURE STUDIES INTRAABDOMINAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86596","description":"VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86596","description":"VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLUME MEASUREMENT TIMED COLLECTION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81050","description":"VOLUME MEASUREMENT TIMED COLLECTION EACH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86960","description":"VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92540","description":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92540","description":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67040","description":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1277.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67040","description":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1277.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1221.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1221.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1221.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1283.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1418.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL ILIAC  AND  PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56640","description":"VULVECTOMY RAD COMPL ILIAC  AND  PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1213.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1424.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1153.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56632","description":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1108.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1163.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56632","description":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1108.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1163.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1274.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1338.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56631","description":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1005.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1108.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56631","description":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1005.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1108.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56633","description":"VULVECTOMY RADICAL COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1026.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56633","description":"VULVECTOMY RADICAL COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1026.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1078.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56630","description":"VULVECTOMY RADICAL PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56630","description":"VULVECTOMY RADICAL PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56625","description":"VULVECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56625","description":"VULVECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56620","description":"VULVECTOMY SIMPLE PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56620","description":"VULVECTOMY SIMPLE PARTIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95958","description":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95958","description":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WB/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9054","description":"WB/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WB/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9054","description":"WB/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WBC ALKALINE PHOSPHATASE COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85540","description":"WBC ALKALINE PHOSPHATASE COUNT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE EXCISION SKIN NAIL FOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11765","description":"WEDGE EXCISION SKIN NAIL FOLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE EXCISION SKIN NAIL FOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11765","description":"WEDGE EXCISION SKIN NAIL FOLD","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58920","description":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58920","description":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CAST EXCEPT CLUBFOOT CASTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29740","description":"WEDGING CAST EXCEPT CLUBFOOT CASTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CAST EXCEPT CLUBFOOT CASTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29740","description":"WEDGING CAST EXCEPT CLUBFOOT CASTS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CLUBFOOT CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29750","description":"WEDGING CLUBFOOT CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CLUBFOOT CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29750","description":"WEDGING CLUBFOOT CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.11,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["01","02","03","04","05","06","07","08","10","11","15","16","17","18","20","26","34","41","42","49","50","53","57","60","65","71","72","81","99"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["12","13","14","27","31","32","33","54"]}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9056","description":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9056","description":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLD/RBCS LEUKOCYTES RDUC CMV-NEG EA UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9051","description":"WHOLE BLD/RBCS LEUKOCYTES RDUC CMV-NEG EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLD/RBCS LEUKOCYTES RDUC CMV-NEG EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9051","description":"WHOLE BLD/RBCS LEUKOCYTES RDUC CMV-NEG EA UNIT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERM PLASMA AND RED CELL VOLU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERM PLASMA AND RED CELL VOLU","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERMINATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERMINATION","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WINDOWING CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29730","description":"WINDOWING CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WINDOWING CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29730","description":"WINDOWING CAST","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX BIOSKIN PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX BIOSKIN PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74420","description":"X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66987","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66987","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66982","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66982","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66991","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66991","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66988","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66988","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66984","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66984","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66989","description":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66989","description":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94617","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94617","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX WO /ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94619","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX WO /ECG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX WO /ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94619","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX WO /ECG","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61558","description":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1688.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1773.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61558","description":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1688.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1773.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61559","description":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2148.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2256.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61559","description":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2148.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2256.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36861","description":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36861","description":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36860","description":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36860","description":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG  AND  48 HR RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93225","description":"XTRNL ECG  AND  48 HR RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG  and  48 HR RECORD SCAN STOR W/R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93224","description":"XTRNL ECG  and  48 HR RECORD SCAN STOR W/R and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG CONTINUOUS RHYTHM W/I and R UP TO 48 HRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93227","description":"XTRNL ECG CONTINUOUS RHYTHM W/I and R UP TO 48 HRS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93241","description":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93241","description":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93225","description":"XTRNL ECG REC LT 48 HRS RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93225","description":"XTRNL ECG REC LT 48 HRS RECORDING","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93224","description":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93224","description":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93227","description":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93227","description":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93226","description":"XTRNL ECG REC LT 48 HRS SCANNING A/R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93226","description":"XTRNL ECG REC LT 48 HRS SCANNING A/R","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST  and  SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20696","description":"XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST  and  SUBQ","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1036.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1081.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20697","description":"XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1373.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1492.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1559.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1567.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1614.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1694.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93228","description":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93228","description":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93229","description":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93229","description":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MEDICAL PROGRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MEDICAL PROGRE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93268","description":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93268","description":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93271","description":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93271","description":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93270","description":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93270","description":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93272","description":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93272","description":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I AND D FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41018","description":"XTRORAL I AND D FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I AND D FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41018","description":"XTRORAL I AND D FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41015","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41015","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41016","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41016","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41017","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41017","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4152.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4152.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XYLOSE ABSORPTION TEST BLOOD  and /URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84620","description":"XYLOSE ABSORPTION TEST BLOOD  and /URINE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.924,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.064,"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":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9543","description":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9543","description":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZIKA VIRUS IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86794","description":"ZIKA VIRUS IGM ANTIBODY","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90736","description":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90736","description":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[216969],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}